Provider Demographics
NPI:1932341104
Name:BORROTO CONDE, DAISY (MD)
Entity Type:Individual
Prefix:
First Name:DAISY
Middle Name:
Last Name:BORROTO CONDE
Suffix:
Gender:F
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: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:SUITE 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
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1173222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology