Provider Demographics
NPI:1558381269
Name:SALCEDO, LORENA DELGADO (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LORENA
Middle Name:DELGADO
Last Name:SALCEDO
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 N EXPRESSWAY STE H
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9828
Mailing Address - Country:US
Mailing Address - Phone:210-542-2699
Mailing Address - Fax:
Practice Address - Street 1:2155 N EXPRESSWAY STE H
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9828
Practice Address - Country:US
Practice Address - Phone:956-544-1100
Practice Address - Fax:956-544-1112
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209831223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091273501Medicaid
TX156725702OtherCSHCN
TX8A0213Medicare ID - Type UnspecifiedMEDICARE NUMBER
TX091273501Medicaid