Individual provider · Type 1 NPI

Daivyd Alexander Palencia Pacheco, MD

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1740775394 Active

Practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Call (203) 709-6479 Map

Mailing address

7703 Floyd Curl Dr # 7742
San Antonio, TX 78229-3900

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XBP10065359 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10065359 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740775394

Daivyd Alexander Palencia Pacheco, MD's National Provider Identifier is 1740775394, issued on Jun 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Jun 24, 2019.