Provider Demographics
NPI:1700641800
Name:SALUD MEDICAL GROUP, LLC
Entity type:Organization
Organization Name:SALUD MEDICAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMOROS DUQUESNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-924-4632
Mailing Address - Street 1:45 ALABAMA RD N STE 8
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6829
Mailing Address - Country:US
Mailing Address - Phone:239-491-9714
Mailing Address - Fax:
Practice Address - Street 1:45 ALABAMA RD N # 8
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6829
Practice Address - Country:US
Practice Address - Phone:239-491-9714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty