Provider Demographics
NPI:1114505161
Name:SALAZAR CONCHA, MARIA DEL MAR (APRN)
Entity type:Individual
Prefix:
First Name:MARIA DEL MAR
Middle Name:
Last Name:SALAZAR CONCHA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9198 NW 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2004
Mailing Address - Country:US
Mailing Address - Phone:305-526-5684
Mailing Address - Fax:
Practice Address - Street 1:9198 NW 8TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2004
Practice Address - Country:US
Practice Address - Phone:305-240-8557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL944776163W00000X
FL1103694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse