Provider Demographics
NPI:1427477264
Name:SALINAS, EDUARDO ALFONSO (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:ALFONSO
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7219 SW 146TH STREET CIR
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33158-1600
Mailing Address - Country:US
Mailing Address - Phone:305-282-1938
Mailing Address - Fax:
Practice Address - Street 1:7219 SW 146TH STREET CIR
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33158-1600
Practice Address - Country:US
Practice Address - Phone:305-282-1938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131523207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine