Provider Demographics
NPI:1407644735
Name:OPORTO, DANIEL ALBERTO (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALBERTO
Last Name:OPORTO
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 E ARIZONA AVE APT 2301
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2259
Mailing Address - Country:US
Mailing Address - Phone:305-606-8082
Mailing Address - Fax:
Practice Address - Street 1:11 E ARIZONA AVE APT 2301
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2259
Practice Address - Country:US
Practice Address - Phone:305-606-8082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0005645103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical