=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770524944
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIK SALGADO LOWMAN D.O.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2006
-----------------------------------------------------
Last Update Date | 10/24/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 166 NE 96TH ST
-----------------------------------------------------
City | MIAMI SHORES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33138-2726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-964-1564
-----------------------------------------------------
Fax | 786-741-3014
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 166 NE 96TH ST
-----------------------------------------------------
City | MIAMI SHORES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33138-2726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-964-1564
-----------------------------------------------------
Fax | 786-741-3014
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | OS9822
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RI0200X
-----------------------------------------------------
Taxonomy Name | Infectious Disease Physician
-----------------------------------------------------
License Number | OS9822
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------