MEDICARE: DR. UBALDO JULIAN SALAZAR-ALAMILLO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	M-2023	GU
2	207Q00000X	Family Medicine Physician	N5378	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134223175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. UBALDO JULIAN SALAZAR-ALAMILLO M.D.

Provider Business Mailing Address
First Line	:	27171 LAKE SHORE DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-2748
Country	:	US
Telephone Number	:	210-369-4667
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 N MAIN ST
Second Line	:
City	:	LA FERIA
State	:	TX
Zip	:	78559-5234
Country	:	US
Telephone Number	:	210-369-4667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	04/13/2023

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