Provider Demographics
NPI:1891970406
Name:GONZALEZ SALGADO, DIOMARIS (OT)
Entity Type:Individual
Prefix:MRS
First Name:DIOMARIS
Middle Name:
Last Name:GONZALEZ SALGADO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 31 HH-23 SANTA JUANITA
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4626
Mailing Address - Country:US
Mailing Address - Phone:787-547-7877
Mailing Address - Fax:787-200-8657
Practice Address - Street 1:CALLE 31 HH-23 SANTA JUANITA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4626
Practice Address - Country:US
Practice Address - Phone:787-547-7877
Practice Address - Fax:787-200-8657
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000868225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist