Healthcare Provider Details

I. General information

NPI: 1487992699
Provider Name (Legal Business Name): DAISY SALGADO PSICHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2013
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COOP. CIUDAD UNIVERSITARIA #1 AVE. PERIFERAL APT. G006
TRUJILLO ALTO PUERTO RICO
00976
UM

IV. Provider business mailing address

COOP. DE EL ALCAZAR # 500 C/ VALCARCEL APT.15G
SAN JUAN PUERTO RICO
00923
UM

V. Phone/Fax

Practice location:
  • Phone: 787-755-9772
  • Fax:
Mailing address:
  • Phone: 787-368-7648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number004595
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: