Provider Demographics
NPI:1639058118
Name:BARRAGAN, SALVADOR JR (DC)
Entity type:Individual
Prefix:DR
First Name:SALVADOR
Middle Name:
Last Name:BARRAGAN
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 FL 524
Mailing Address - Street 2:SUITE 180A
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926
Mailing Address - Country:US
Mailing Address - Phone:321-305-5766
Mailing Address - Fax:321-305-4886
Practice Address - Street 1:2301 FL 524
Practice Address - Street 2:SUITE 180A
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32926
Practice Address - Country:US
Practice Address - Phone:321-305-5766
Practice Address - Fax:321-305-4886
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor