Provider Demographics
NPI:1992327407
Name:QUINTANA-SALGADO, ELSY A (LMT)
Entity type:Individual
Prefix:
First Name:ELSY
Middle Name:A
Last Name:QUINTANA-SALGADO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 SW 72ND ST STE 499
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3022
Mailing Address - Country:US
Mailing Address - Phone:786-812-9557
Mailing Address - Fax:
Practice Address - Street 1:10300 SW 72ND ST STE 470B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3028
Practice Address - Country:US
Practice Address - Phone:786-812-9557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA84841225700000X
FLAP4544171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty