MEDICARE: ROSA L SALTOS BRAVO

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	376K00000X	Nurse's Aide
2	376K00000X	Nurse's Aide		OH

General Provider Information

NPI Number	:	1942045992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA L SALTOS BRAVO

Provider Business Mailing Address
First Line	:	388 PLEASANT MEADOW BLVD APT F
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44224-4983
Country	:	US
Telephone Number	:	330-573-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	388 PLEASANT MEADOW BLVD APT F
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44224-4983
Country	:	US
Telephone Number	:	330-573-2121
Fax Number	:

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

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	07/01/2024

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Directions to “ ROSA L SALTOS BRAVO ” Practice Location

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