Doctor Name: | MARITZA SALCEDO |
NPI Number: | 1144421249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 16654 |
Business Practice Address: | Ave Constitucion 405 Puerta De Tierra San Juan, PR - 00902 |
Business Phone Number: | 7877773535 |
Business Fax Number: | |
Mailing Address: | Pediatric Hospital - Biosychosocial Program, Po Box 191079 SAN JUAN |
State: | PR |
Postal Code: | 009191079 |
Phone Number: | 7877773535 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16654 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |