Provider Demographics
NPI:1831182344
Name:SALINAS, HUGO C (MD)
Entity type:Individual
Prefix:DR
First Name:HUGO
Middle Name:C
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 W 20TH AVE
Mailing Address - Street 2:SUITE 516
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1897
Mailing Address - Country:US
Mailing Address - Phone:305-825-4043
Mailing Address - Fax:305-827-6923
Practice Address - Street 1:7100 W 20TH AVE
Practice Address - Street 2:SUITE 516
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1897
Practice Address - Country:US
Practice Address - Phone:305-825-4043
Practice Address - Fax:305-827-6923
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2007-08-03
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-04-12
Provider Licenses
StateLicense IDTaxonomies
FLME0045435174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34034Medicare ID - Type UnspecifiedMEDICARE
FLD62275Medicare UPIN