Provider Demographics
NPI:1356388003
Name:MITCHELL, MARITZA SALGADO (MD)
Entity type:Individual
Prefix:MISS
First Name:MARITZA
Middle Name:SALGADO
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:RL RDG AVE #50
Mailing Address - Street 2:CHALETS BAYAMON PH 2231
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-785-1346
Mailing Address - Fax:
Practice Address - Street 1:HOPITAL DENINOS SAN JORGE
Practice Address - Street 2:SAN JORGE CHILDRENS HOSPITAL
Practice Address - City:SAN TURCE
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:987-727-5555
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5977207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine