Provider Demographics
NPI:1952148652
Name:SALUMED GROUP LLC
Entity type:Organization
Organization Name:SALUMED GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-751-3845
Mailing Address - Street 1:URB RIVERA VILLAGE
Mailing Address - Street 2:63 CENTRAL PARK
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-248-6234
Mailing Address - Fax:
Practice Address - Street 1:CENTRO COMERCIAL RIO PIEDRAS HEIGHTS
Practice Address - Street 2:CALLE PARANA 1689 OFIC 5
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-751-3845
Practice Address - Fax:787-294-9976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty