Healthcare Provider Details

I. General information

NPI: 1881899516
Provider Name (Legal Business Name): ROGER ERWIN SALDANA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 786-624-4141
  • Fax: 786-624-5109
Mailing address:
  • Phone: 786-573-6240
  • Fax: 786-533-9327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberME116564
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: