Basic Information
Provider Information
NPI: 1902859630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CONDE-STERLING
FirstName: DANIEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 33098
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009333098
CountryCode: US
TelephoneNumber: 7874037388
FaxNumber: 7876417582
Practice Location
Address1: 10 CALLE CASIA
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009213200
CountryCode: US
TelephoneNumber: 7876417582
FaxNumber: 7876415339
Other Information
ProviderEnumerationDate: 05/17/2006
LastUpdateDate: 12/30/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0101X13238PRN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
207ZP0102X13238PRY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
207ZH0000X13238PRN Allopathic & Osteopathic PhysiciansPathologyHematology

No ID Information.


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