| Doctor Name: | DR. VIVENCIO LEE SALCEDO |
| NPI Number: | 1437107976 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 11618 |
| Business Practice Address: | Castle Point Rd, Route 9 Castle Point, NY - 12511 |
| Business Phone Number: | 8458312000 |
| Business Fax Number: | 8458385184 |
| Mailing Address: | 21 Converse Ln, MELROSE |
| State: | MA |
| Postal Code: | 021765101 |
| Phone Number: | 7816658517 |
| Fax Number: | 7816658517 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | 11618 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |