Provider Demographics
NPI:1992383855
Name:SALERNO MARTINEZ, SALERNO RL (CD (CBI))
Entity type:Individual
Prefix:
First Name:SALERNO
Middle Name:RL
Last Name:SALERNO MARTINEZ
Suffix:
Gender:F
Credentials:CD (CBI)
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SALERNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4428 QUAIL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-6736
Mailing Address - Country:US
Mailing Address - Phone:682-227-4379
Mailing Address - Fax:
Practice Address - Street 1:4428 QUAIL HOLLOW RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-6736
Practice Address - Country:US
Practice Address - Phone:682-227-4379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 261Q00000X, 374J00000X
TX172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No374J00000XNursing Service Related ProvidersDoula