Provider Demographics
NPI:1205167871
Name:SALAZAR, ESPERANZA F (MD)
Entity type:Individual
Prefix:
First Name:ESPERANZA
Middle Name:F
Last Name:SALAZAR
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 1:1218 S PUEBLO BLVD
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-1593
Mailing Address - Country:US
Mailing Address - Phone:719-566-1277
Mailing Address - Fax:719-566-1257
Practice Address - Street 1:1218 S PUEBLO BLVD
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-1593
Practice Address - Country:US
Practice Address - Phone:719-566-1277
Practice Address - Fax:719-566-1257
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053723207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology