Provider Demographics
NPI:1326296823
Name:ANGELA MARIA SALDARRIAGA-PACHALIS
Entity Type:Organization
Organization Name:ANGELA MARIA SALDARRIAGA-PACHALIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:CMC
Authorized Official - Phone:302-633-1182
Mailing Address - Street 1:5578 KIRKWOOD HWY STE 5580
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5002
Mailing Address - Country:US
Mailing Address - Phone:302-633-1182
Mailing Address - Fax:302-633-6007
Practice Address - Street 1:5578 KIRKWOOD HWY STE 5580
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5002
Practice Address - Country:US
Practice Address - Phone:302-633-1182
Practice Address - Fax:302-633-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC 10007081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000023530Medicaid
DE=========OtherBLU CROSS BLUE SHIELD
DEH95893Medicare UPIN
DE491643Medicare PIN