Healthcare Provider Details

I. General information

NPI: 1801572474
Provider Name (Legal Business Name): GABRIEL O SALGADO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 622 K6 CERRO GORDO
UTUADO PR
00641-1327
US

IV. Provider business mailing address

PO BOX 1327
UTUADO PR
00641-1327
US

V. Phone/Fax

Practice location:
  • Phone: 787-326-2685
  • Fax:
Mailing address:
  • Phone: 787-326-2685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number36374R
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23814
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: