Daniela Coromoto Atencio Bohorquez, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

S6119 Issued in TX

Practice address

7700 Cat Hollow Dr Ste 103
Round Rock, TX 78681-5797

Phone

(512) 244-1444

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Synergy Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Round Rock, TX
  • NPI 1306157391
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1396003281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S CONGRESS AVE APT 413",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042405",
            "telephone_number": "312-806-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR STE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815797",
            "telephone_number": "512-244-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO BOHORQUEZ",
        "first_name": "DANIELA",
        "middle_name": "COROMOTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "S6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspire Vision Training Center, PLLC
• Saba Parveen Asrar, DDS
• Ahmad Atallah
• Mihaela Atanasiu, D.D.S
• Ayobami Oluwakemi Atejioye, FNP-C
• Rebecca Athanason, LCSW
• Britnee Atherholt
• Chere D Atkins, LPT
• Atx Mental Health, PLLC
• Atx360 Physicians for Pain Management, PLLC

• Plastic and Reconstructive Surgery Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.