DAIVYD ALEXANDER PALENCIA PACHECO MD
NPI 1740775394
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Q: What is Daivyd Palencia Pacheco's NPI number?

The NPI number for Daivyd Palencia Pacheco is 1740775394. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Daivyd Palencia Pacheco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 26, 2018PECOS Enrolled

56 FRANKLIN ST STE 1, WATERBURY, CT 06706(203) 709-6479 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2019, Jun 26, 2018 (2 updates tracked since 2018).

On this page

About Daivyd Alexander Palencia Pacheco Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAIVYD ALEXANDER PALENCIA PACHECO MD (NPI 1740775394) is an individual student in an organized health care education/training program in Waterbury, Connecticut, licensed in Connecticut (BP10065359) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740775394

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDAIVYD ALEXANDER PALENCIA PACHECOCredential: MD

Location Address56 FRANKLIN ST STE 1Waterbury, CT 06706-1281

Mailing Address7703 Floyd Curl Dr # 7742San Antonio, TX 78229-3900 · (210) 567-5711

Phone(203) 709-6479

Sole ProprietorNo

Enumeration DateJune 26, 2018

Last NPPES UpdateJune 24, 20192 updates tracked since enumeration

✔ NPI 1740775394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Licenses✔ Licensed in CT · BP10065359✔ Licensed in TX · BP10065359

Definition

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.

56 FRANKLIN ST STE 1, Waterbury, CT 06706

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daivyd Alexander Palencia Pacheco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIKA CARD

Student in an Organized Health Care Education/Training Program