MEDICARE: SALUD MEDICAL CENTER INC

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

General Provider Information

NPI Number	:	1205039716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALUD MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	1338 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3904
Country	:	US
Telephone Number	:	305-854-4443
Fax Number	:	305-854-7047

Provider Business Practice Location Address
First Line	:	1338 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3904
Country	:	US
Telephone Number	:	305-854-4443
Fax Number	:	305-854-7047

Authorized Official
Title or Position	:	PRESIDENT
Name	:	INES GLADYS FERNANDEZ
Credential	:
Telephone Number	:	305-345-0928

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	04/20/2008

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Directions to “SALUD MEDICAL CENTER INC ” Practice Location

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