Provider Demographics
NPI:1851682702
Name:SALAS, MARIA JIMENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:JIMENA
Last Name:SALAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4302 ALTON RD STE 1003
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2890
Mailing Address - Country:US
Mailing Address - Phone:305-672-0290
Mailing Address - Fax:305-672-0390
Practice Address - Street 1:4302 ALTON RD STE 1003
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2890
Practice Address - Country:US
Practice Address - Phone:305-672-0290
Practice Address - Fax:305-672-0390
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 109984207RC0000X
FLTRN 10409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine