1356388003 NPI number — MISS MARITZA SALGADO MITCHELL MD

Table of content: MISS MARITZA SALGADO MITCHELL MD (NPI 1356388003)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356388003 NPI number — MISS MARITZA SALGADO MITCHELL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITCHELL
Provider First Name:
MARITZA
Provider Middle Name:
SALGADO
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356388003
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
RL RDG AVE #50
Provider Second Line Business Mailing Address:
CHALETS BAYAMON PH 2231
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-785-1346
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOPITAL DENINOS SAN JORGE
Provider Second Line Business Practice Location Address:
SAN JORGE CHILDRENS HOSPITAL
Provider Business Practice Location Address City Name:
SAN TURCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
987-727-5555
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207PP0204X , with the licence number:  5977 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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