Provider Demographics
NPI:1508143363
Name:SALAS, BELKYS
Entity Type:Individual
Prefix:
First Name:BELKYS
Middle Name:
Last Name:SALAS
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 1:9766 SW 24TH ST
Mailing Address - Street 2:STE 8
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7539
Mailing Address - Country:US
Mailing Address - Phone:305-551-1334
Mailing Address - Fax:305-551-1336
Practice Address - Street 1:9766 SW 24TH ST
Practice Address - Street 2:STE 8
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7539
Practice Address - Country:US
Practice Address - Phone:305-551-1334
Practice Address - Fax:305-551-1336
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA59951225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist