Provider Demographics
NPI:1578605580
Name:SALAZAR, MAYA CHE
Entity Type:Individual
Prefix:
First Name:MAYA
Middle Name:CHE
Last Name:SALAZAR
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 1:500 CARR 177
Mailing Address - Street 2:UNIT Q-5, BOX 94
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8913
Mailing Address - Country:US
Mailing Address - Phone:786-382-9080
Mailing Address - Fax:787-289-7991
Practice Address - Street 1:USCG SECTOR SAN JUAN
Practice Address - Street 2:#5 CALLE LA PUNTILLA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-729-2305
Practice Address - Fax:787-289-7991
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other