Provider Demographics
NPI:1114608528
Name:SALGADO, JACKELINE M
Entity Type:Individual
Prefix:
First Name:JACKELINE
Middle Name:M
Last Name:SALGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CALLE TERESA JORNET
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7517
Mailing Address - Country:US
Mailing Address - Phone:787-777-1285
Mailing Address - Fax:787-777-1287
Practice Address - Street 1:12 CALLE TERESA JORNET
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7517
Practice Address - Country:US
Practice Address - Phone:787-777-1285
Practice Address - Fax:787-777-1287
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician