Provider Demographics
NPI:1407007271
Name:SALAZAR, VALENTINO (INDEPENDENT DUTY HM)
Entity type:Individual
Prefix:
First Name:VALENTINO
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:INDEPENDENT DUTY HM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COMMANDING OFFICER, USS ALBUQUERQUE (SSN 706)
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96660-2386
Mailing Address - Country:US
Mailing Address - Phone:619-553-7293
Mailing Address - Fax:619-553-7293
Practice Address - Street 1:USS ALBUQUERQUE SSN 706
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96660-2386
Practice Address - Country:US
Practice Address - Phone:619-553-7293
Practice Address - Fax:619-553-7293
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman