Provider Demographics
NPI:1669636312
Name:VALENTIN-SALGADO, IRMA CRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:CRISTINA
Last Name:VALENTIN-SALGADO
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:PO BOX 2136
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-2136
Mailing Address - Country:US
Mailing Address - Phone:787-608-6001
Mailing Address - Fax:
Practice Address - Street 1:B1 CAR 2 KM 45.0
Practice Address - Street 2:BO COTO NORTE SECT CANTERA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-608-6001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17198208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRDP915AMedicare PIN