Provider Demographics
NPI:1669051322
Name:SALINAS, JAIME
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:SALINAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N CUMMINGS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-5168
Mailing Address - Country:US
Mailing Address - Phone:956-432-2309
Mailing Address - Fax:
Practice Address - Street 1:901 TRENTON RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-7705
Practice Address - Country:US
Practice Address - Phone:956-618-1889
Practice Address - Fax:866-540-5735
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician