Healthcare Provider Details

I. General information

NPI: 1346436714
Provider Name (Legal Business Name): LEON SALGADO M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18469 S DIXIE HWY
CUTLER BAY FL
33157-6815
US

IV. Provider business mailing address

8333 NW 53RD ST FL 6
DORAL FL
33166-4783
US

V. Phone/Fax

Practice location:
  • Phone: 786-949-6715
  • Fax: 786-706-7844
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME99970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: