MEDICARE: CARLOS ALFREDO SALAZAR

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	363LF0000X	Family Nurse Practitioner	CNP171175	ME
2	363LF0000X	Family Nurse Practitioner	ARNP9315385	FL
3	163W00000X	Registered Nurse	RN9315385	FL
4	367500000X	Certified Registered Nurse Anesthetist	APRN-CRNA10003134	OR
5	367500000X	Certified Registered Nurse Anesthetist	ARNP9315385	FL
6	163W00000X	Registered Nurse	RN68613	ME
7	367500000X	Certified Registered Nurse Anesthetist	RNA173002	ME

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	:	1407261456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ALFREDO SALAZAR

Provider Business Mailing Address
First Line	:	5122 SW 157TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5036
Country	:	US
Telephone Number	:	305-297-4056
Fax Number	:

Provider Business Practice Location Address
First Line	:	5122 SW 157TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5036
Country	:	US
Telephone Number	:	305-297-4056
Fax Number	:

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

Provider Enumeration Date	:	06/29/2014
Last Update Date	:	01/22/2026

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Directions to “ CARLOS ALFREDO SALAZAR ” Practice Location

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