Provider Demographics
NPI:1285044388
Name:SALIMED ROD, INC
Entity Type:Organization
Organization Name:SALIMED ROD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:OSCAR
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-824-2774
Mailing Address - Street 1:43 CALLE MONSERRATE
Mailing Address - Street 2:PO BOX 1161
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-3266
Mailing Address - Country:US
Mailing Address - Phone:787-824-2774
Mailing Address - Fax:787-824-2774
Practice Address - Street 1:43 CALLE MONSERRATE
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-3266
Practice Address - Country:US
Practice Address - Phone:787-824-2774
Practice Address - Fax:787-824-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9580302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
GW521AMedicare Oscar/Certification
E81946Medicare UPIN