MEDICARE: MR. ANGEL DAVID SALGADO RODRIGUEZ MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	7622	PR

General Provider Information

NPI Number	:	1205542339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANGEL DAVID SALGADO RODRIGUEZ MA

Provider Business Mailing Address
First Line	:	HC 69 112
Second Line	:	BARRIO GUARAGUAO ABAJO
City	:	BAYAMON
State	:	PR
Zip	:	00957
Country	:	US
Telephone Number	:	787-454-0203
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 174 KM0 H0
Second Line	:	BARRIO GUARAGUAO ABAJO
City	:	BAYAMON
State	:	PR
Zip	:	00957
Country	:	US
Telephone Number	:	787-454-0203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	12/19/2025

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