=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427621986
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MAGDALENA SALGADO SOTO R.P.T.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2021
-----------------------------------------------------
Last Update Date | 07/22/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | GALLE DR. NELSON PEREA 23A
-----------------------------------------------------
City | MAYAGUEZ
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00680
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-255-9990
-----------------------------------------------------
Fax | 787-265-9330
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | BOX 3576
-----------------------------------------------------
City | MAYAGUEZ
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00681
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-806-8226
-----------------------------------------------------
Fax | 787-265-9330
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 000376
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------