Healthcare Provider Details

I. General information

NPI: 1467663864
Provider Name (Legal Business Name): DR. MANUEL SALGADO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JESUS T. PINEIRO #4
ISABELA PR
00662
US

IV. Provider business mailing address

CALLE 1 A3 URB. RINCON ESPANOL
TRUJILLO ALTO PR
00976
US

V. Phone/Fax

Practice location:
  • Phone: 787-872-2527
  • Fax: 787-872-4822
Mailing address:
  • Phone: 787-755-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number15175
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: