MEDICARE: MARTHA DIAZ SALAZAR MD

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	31592	PR
2	207Q00000X	Family Medicine Physician	ME129747	FL

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	:	1346625811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA DIAZ SALAZAR MD

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DR STE 365
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-7010
Country	:	US
Telephone Number	:	786-322-7333
Fax Number	:	786-347-5022

Provider Business Practice Location Address
First Line	:	751 W PALM DR
Second Line	:
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-3223
Country	:	US
Telephone Number	:	786-377-0120
Fax Number	:	305-248-6106

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

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	10/03/2022

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Directions to “ MARTHA DIAZ SALAZAR MD” Practice Location

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