Provider Demographics
NPI:1952684011
Name:SALINAS, VIVIAN (ARNP)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:SALINAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3684 ESTEPONA AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2341
Mailing Address - Country:US
Mailing Address - Phone:305-812-4329
Mailing Address - Fax:305-403-2262
Practice Address - Street 1:1150 NW 72ND AVE STE 650
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1921
Practice Address - Country:US
Practice Address - Phone:305-403-2221
Practice Address - Fax:305-403-2262
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9311339163WG0000X
FLARNP9311339364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice