Healthcare Provider Details

I. General information

NPI: 1790282309
Provider Name (Legal Business Name): VICTOR SALINAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE STE 510
ENGLEWOOD CO
80113-2776
US

IV. Provider business mailing address

701 E HAMPDEN AVE STE 510
ENGLEWOOD CO
80113-2776
US

V. Phone/Fax

Practice location:
  • Phone: 303-357-5455
  • Fax: 303-357-5459
Mailing address:
  • Phone: 303-357-5455
  • Fax: 303-357-5459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDR.0074408
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberT0334
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: