Provider Demographics
NPI:1982949525
Name:SALAZAR, NILDELENE (MS)
Entity Type:Individual
Prefix:
First Name:NILDELENE
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 SW 18TH AVE APT 1101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3846
Mailing Address - Country:US
Mailing Address - Phone:786-554-9567
Mailing Address - Fax:
Practice Address - Street 1:1800 SW 27TH AVE STE 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2455
Practice Address - Country:US
Practice Address - Phone:786-554-9567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-09
Last Update Date:2012-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist