Provider Demographics
NPI:1033470794
Name:SALCEDO-IRIZARRY, FEDERICO (MD)
Entity Type:Individual
Prefix:DR
First Name:FEDERICO
Middle Name:
Last Name:SALCEDO-IRIZARRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UPR-MEDICAL SCIENCES CAMPUS, PATHOLOGY DEPARTMENT
Mailing Address - Street 2:P.O. BOX 365067
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:
Practice Address - Street 1:ASEM (CENTRO MEDICO DE PR), PATHOLOGY DEPARTMENT
Practice Address - Street 2:BARRIO MONACILLOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00922-2129
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:787-777-3861
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18766207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology