Healthcare Provider Details

I. General information

NPI: 1518958503
Provider Name (Legal Business Name): JOE P SALGADO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 N 13TH ST
ARTESIA NM
88210-1199
US

IV. Provider business mailing address

702 N 13TH ST
ARTESIA NM
88210-1199
US

V. Phone/Fax

Practice location:
  • Phone: 575-746-3119
  • Fax: 575-746-4295
Mailing address:
  • Phone: 575-748-3333
  • Fax: 505-746-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number99297
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: