Healthcare Provider Details

I. General information

NPI: 1205542339
Provider Name (Legal Business Name): ANGEL DAVID SALGADO RODRIGUEZ MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 174 KM0 H0 BARRIO GUARAGUAO ABAJO
BAYAMON PR
00957
US

IV. Provider business mailing address

HC 69 112 BARRIO GUARAGUAO ABAJO
BAYAMON PR
00957
US

V. Phone/Fax

Practice location:
  • Phone: 787-454-0203
  • Fax:
Mailing address:
  • Phone: 787-454-0203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7622
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: