Provider Demographics
NPI:1366188708
Name:SALTES CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SALTES CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:216-970-2420
Mailing Address - Street 1:1050 93RD ST APT 7G
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2349
Mailing Address - Country:US
Mailing Address - Phone:216-970-2420
Mailing Address - Fax:
Practice Address - Street 1:9532 HARDING AVE STE 101
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-2515
Practice Address - Country:US
Practice Address - Phone:216-970-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty