Provider Demographics
NPI:1164560058
Name:SOTELO-GARZA, DANILO HUMBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:DANILO
Middle Name:HUMBERTO
Last Name:SOTELO-GARZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HUDSON ST
Mailing Address - Street 2:APT. 2106
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-6575
Mailing Address - Country:US
Mailing Address - Phone:520-909-1724
Mailing Address - Fax:
Practice Address - Street 1:2604 3RD AVE
Practice Address - Street 2:APT.2058
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-1199
Practice Address - Country:US
Practice Address - Phone:718-292-0100
Practice Address - Fax:718-866-0163
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136353207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery