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NPI Code Detail

MEDICARE: DR. JAIME MAURICIO SALCEDO VARELA MD

MEDICARE: DR. JAIME MAURICIO SALCEDO VARELA MD
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
1207Q00000XFamily Medicine PhysicianME112467FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2KW586OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619167004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME MAURICIO SALCEDO VARELA MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1049 W ORANGE BLOSSOM TRL
Second Line :
City : APOPKA
State : FL
Zip : 32712-3482
Country : US
Telephone Number : 407-884-2952
Fax Number : 407-884-9352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2007
Last Update Date : 08/27/2025

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