Provider Demographics
NPI:1457363871
Name:SALCEDO, JULIO ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ALEJANDRO
Last Name:SALCEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12510 PROSPERITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1663
Mailing Address - Country:US
Mailing Address - Phone:240-485-5210
Mailing Address - Fax:301-625-6906
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:STE 205
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-829-0170
Practice Address - Fax:202-829-2927
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101047229207RG0100X
MDD0057716207RG0100X
DCMD21211207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC029569400Medicaid
DC100017316OtherMEDICARE RAILROAD
MD687502500Medicaid
INP01003751OtherRAILROAD MEDICARE
INM400018982Medicare PIN
DC007626M02Medicare PIN
INP01003751OtherRAILROAD MEDICARE