Provider Demographics
NPI:1659430494
Name:SALINAS GONZALEZ, VIRIDIANA (MD)
Entity Type:Individual
Prefix:
First Name:VIRIDIANA
Middle Name:
Last Name:SALINAS GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 CALLE AQUAMARINA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7070
Mailing Address - Country:US
Mailing Address - Phone:787-410-7044
Mailing Address - Fax:787-790-6671
Practice Address - Street 1:1724 CALLE YANGTZE
Practice Address - Street 2:RIO PIEDRAS HEIGHTS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-244-8224
Practice Address - Fax:888-614-7084
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13982207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease