Provider Demographics
NPI:1700310810
Name:AURELIO, DANILO MIGUEL (DO)
Entity type:Individual
Prefix:DR
First Name:DANILO MIGUEL
Middle Name:
Last Name:AURELIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:DANILO MIGUEL
Other - Middle Name:PROLLAMANTE
Other - Last Name:AURELIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:
Practice Address - Street 1:6355 S BUFFALO DR FL 3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2133
Practice Address - Country:US
Practice Address - Phone:702-952-9171
Practice Address - Fax:702-952-9170
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVDO2929207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine