Provider Demographics
NPI:1750496402
Name:ORDUNA-SALISBURY, BEATRIZ CARLOTA (MD)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:CARLOTA
Last Name:ORDUNA-SALISBURY
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 1:438 CHACOMA PL SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87104-1405
Mailing Address - Country:US
Mailing Address - Phone:505-242-1087
Mailing Address - Fax:
Practice Address - Street 1:438 CHACOMA PL SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87104-1405
Practice Address - Country:US
Practice Address - Phone:505-242-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA190512083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine