Provider Demographics
NPI:1164411393
Name:SALVA-MARIN, MILAGROS M (MD)
Entity Type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:M
Last Name:SALVA-MARIN
Suffix:
Gender:F
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:PO BOX 306
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00664
Mailing Address - Country:UM
Mailing Address - Phone:787-828-1184
Mailing Address - Fax:787-828-1184
Practice Address - Street 1:LIBUTAD #30
Practice Address - Street 2:
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664
Practice Address - Country:US
Practice Address - Phone:787-828-1184
Practice Address - Fax:787-828-1184
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6762208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics