Active NPI
Daniela Sepulveda Beltran, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Daytona Beach, FL
National Provider Identifier
1487228854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME177849
- Practice address
- 305 Memorial Medical Pkwy Ste 402
Daytona Beach, FL 32117-5169 - Phone
- (386) 231-3525
- Fax
- (386) 231-3527
- NPI assigned
- May 19, 2021
- Reactivated
- May 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME177849 | FL | Primary |
Addresses
Primary practice location
305 Memorial Medical Pkwy Ste 402
Daytona Beach, FL 32117-5169
Mailing address
770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Other practice location 1
355 Grand St.
Jersey City, NJ 07302
Phone (201) 915-2431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724003428 | SC | Order and Referring Only - Endocrinology | 3577009604 |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
770 W Granada Blvd
Suite 101
Ormond Beach, FL 32174-5179
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1487228854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W GRANADA BLVD STE 101",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MEMORIAL MEDICAL PKWY STE 402",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175169",
"telephone_number": "386-231-3525",
"fax_number": "386-231-3527"
}
],
"practiceLocations": [
{
"address_1": "355 Grand St.",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "07302",
"country_code": "US",
"telephone_number": "201-915-2431",
"fax_number": "201-915-2219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEPULVEDA BELTRAN",
"first_name": "DANIELA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"deactivation_date": "2023-03-29",
"reactivation_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME177849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.