Provider Demographics
NPI:1518506633
Name:SALGADO, ALEXIS JAVIER (DNP, CRNA, APRN)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:JAVIER
Last Name:SALGADO
Suffix:
Gender:M
Credentials:DNP, CRNA, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16713 NW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2013
Mailing Address - Country:US
Mailing Address - Phone:954-881-2647
Mailing Address - Fax:
Practice Address - Street 1:3601 W COMMERCIAL BLVD STE 5
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3392
Practice Address - Country:US
Practice Address - Phone:954-485-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005705367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered