Provider Demographics
NPI:1154010502
Name:SALAH, HUSSEIN (CRNA)
Entity type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:
Last Name:SALAH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COND. TORRES DE ANDALUCIA APT. 1305
Mailing Address - Street 2:CALLE ALMONTE 1
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-697-9078
Mailing Address - Fax:
Practice Address - Street 1:1 COND. TORRES DE ANDALUCIA APT. 1305
Practice Address - Street 2:CALLE ALMONTE 1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-697-9078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-02
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11026671367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered