Healthcare Provider Details

I. General information

NPI: 1437530094
Provider Name (Legal Business Name): ARTURO SALCIDO R.D.H,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 06/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 MISSION NUEVO DR APT B
LAS CRUCES NM
88011-7156
US

IV. Provider business mailing address

1322 MISSION NUEVO DR APT B
LAS CRUCES NM
88011-7156
US

V. Phone/Fax

Practice location:
  • Phone: 915-843-1171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH3650
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: