Provider Demographics
NPI:1457062978
Name:LANDRAU SALAMO, ALESSANDRA (PHD)
Entity type:Individual
Prefix:DR
First Name:ALESSANDRA
Middle Name:
Last Name:LANDRAU SALAMO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND PLAZA 20
Mailing Address - Street 2:603 CALLE HIPODROMO APT. 406
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-354-4223
Mailing Address - Fax:
Practice Address - Street 1:CENTRO INT'L DE MERCADEO I
Practice Address - Street 2:100 CARR. 165 SUITE #403
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-8050
Practice Address - Country:US
Practice Address - Phone:787-908-8840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7556103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR39873701Medicaid