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NPI Code Detail

MEDICARE: MICHAEL SALAS

MEDICARE: MICHAEL SALAS
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
1175T00000XPeer SpecialistNM

General Provider Information

NPI Number : 1154286698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SALAS
Provider Business Mailing Address
First Line : 10315 CALLE DICHOSO CT NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-5404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13139 CENTRAL AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87123-3031
Country : US
Telephone Number : 661-789-8963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ MICHAEL SALAS ” Practice Location

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