Healthcare Provider Details

I. General information

NPI: 1992128433
Provider Name (Legal Business Name): ROSARIO SALCEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2014
Last Update Date: 02/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8608 BIRD RD
MIAMI FL
33155-3216
US

IV. Provider business mailing address

7200 CORPORATE CENTER DR STE 600
MIAMI FL
33126-1200
US

V. Phone/Fax

Practice location:
  • Phone: 305-551-3200
  • Fax:
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA7900
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: