Provider Demographics
NPI:1013793439
Name:SALUS PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:SALUS PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURO
Authorized Official - Middle Name:I
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-845-4024
Mailing Address - Street 1:154 N FESTIVAL DR # VILLAG
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6266
Mailing Address - Country:US
Mailing Address - Phone:915-209-0311
Mailing Address - Fax:915-845-4019
Practice Address - Street 1:154 N FESTIVAL DR # VILLAG
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6266
Practice Address - Country:US
Practice Address - Phone:915-209-0311
Practice Address - Fax:915-845-4019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty