Healthcare Provider Details

I. General information

NPI: 1821392309
Provider Name (Legal Business Name): SALUD 2011, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2010
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CALLE MAYAGUEZ
SAN JUAN PR
00917-4915
US

IV. Provider business mailing address

PO BOX 19237
SAN JUAN PR
00910-1237
US

V. Phone/Fax

Practice location:
  • Phone: 787-294-9371
  • Fax: 787-294-9820
Mailing address:
  • Phone: 787-268-4433
  • Fax: 787-726-1828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA E NARVAEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-222-9661