Provider Demographics
NPI:1366611170
Name:SALINAS, GILBERTO R (BC-HIS)
Entity type:Individual
Prefix:MR
First Name:GILBERTO
Middle Name:R
Last Name:SALINAS
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 E BELL RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2242
Mailing Address - Country:US
Mailing Address - Phone:602-788-1046
Mailing Address - Fax:602-788-4237
Practice Address - Street 1:4001 E BELL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2242
Practice Address - Country:US
Practice Address - Phone:602-788-1046
Practice Address - Fax:602-788-4237
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ#HAD-1990237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist