Doctor Name: | DR. HADEILY EVANGELINA SALAZAR HERNANDEZ |
NPI Number: | 1033463708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | |
Business Practice Address: | 1509 State St La Porte, IN - 463503115 |
Business Phone Number: | 2193243431 |
Business Fax Number: | 2193623802 |
Mailing Address: | Po Box 1690, LA PORTE |
State: | IN |
Postal Code: | 463521690 |
Phone Number: | 2193262461 |
Fax Number: | 2193256439 |
NPI Enumeration Date: | 11/02/2012 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |