Provider Demographics
NPI:1669145462
Name:SALGADO, JAIME DANIEL (PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:DANIEL
Last Name:SALGADO
Suffix:
Gender:M
Credentials:PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 45 BOX 9645
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-9603
Mailing Address - Country:US
Mailing Address - Phone:787-205-0258
Mailing Address - Fax:
Practice Address - Street 1:URB. SAN ALFONSO CALLE MIS AMORES D-12
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-930-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7071103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling