Provider Demographics
NPI:1740604289
Name:DAISY BORROTO MD PA
Entity Type:Organization
Organization Name:DAISY BORROTO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORROTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-608-0656
Mailing Address - Street 1:PO BOX 832944
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33283-2944
Mailing Address - Country:US
Mailing Address - Phone:305-608-0656
Mailing Address - Fax:786-254-7084
Practice Address - Street 1:3850 SW 87TH AVE
Practice Address - Street 2:STE 306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5474
Practice Address - Country:US
Practice Address - Phone:305-608-0656
Practice Address - Fax:786-254-7084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1173222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty