=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497212500
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SULTAN SOL, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2019
-----------------------------------------------------
Last Update Date | 09/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1675 MICANOPY AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33133-2542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-694-1282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1675 MICANOPY AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33133-2542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 267-694-1282
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CHRISTOPHER J SALGADO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 512-947-3494
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------