Provider Demographics
NPI:1023995016
Name:SALAZAR AGUILERA, GILBERTO A
Entity type:Individual
Prefix:
First Name:GILBERTO
Middle Name:A
Last Name:SALAZAR AGUILERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25073 SW 114TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-4653
Mailing Address - Country:US
Mailing Address - Phone:954-552-5808
Mailing Address - Fax:
Practice Address - Street 1:25073 SW 114TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-4653
Practice Address - Country:US
Practice Address - Phone:954-552-5808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician