Individual provider Active NPI

Daniela Sepulveda Beltran, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Daytona Beach, FL
National Provider Identifier
1487228854
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME177849 Issued in FL
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

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724003428 SC Order and Referring Only - EndocrinologyPractitioner - 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.

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

Verify at the official NPI Registry.