Healthcare Provider Details

I. General information

NPI: 1225341035
Provider Name (Legal Business Name): SHARON SALGADO DE JESUS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BLVD SAGRADO CORAZON PDA 26 1/2
SAN JUAN PR
00909-3333
US

IV. Provider business mailing address

650 CALLE CECILIANA ARCOS DE CUPEY APT 403
SAN JUAN PR
00926-7648
US

V. Phone/Fax

Practice location:
  • Phone: 787-403-7557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number1383
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1366
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: