Provider Demographics
NPI:1588675938
Name:ALMODOVAR, DANIEL A JR (MD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:ALMODOVAR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:BOX 408
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:787-899-5959
Mailing Address - Fax:787-899-5959
Practice Address - Street 1:CA. AMISTAD #32
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00667
Practice Address - Country:UM
Practice Address - Phone:787-899-5959
Practice Address - Fax:787-899-5959
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2012-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR7008207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E19230Medicare UPIN