Active NPI
Jacqueline Salazar, M.D.
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1063519452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME46576
- Practice address
- 8900 N Kendall Dr
Miami, FL 33176-2118 - Phone
- (786) 596-1960
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0046576 | FL | |
| Hospitalist Physician | 208M00000X | ME46576 | FL | |
| Pediatrics Physician | 208000000X | ME46576 | FL | Primary |
Addresses
Primary practice location
8900 N Kendall Dr
Miami, FL 33176-2118
Mailing address
16241 Biscayne Blvd
North Miami Beach, FL 33160
Phone (305) 947-5494
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650122664 | Other | FL | VISTA |
| 001785 | Other | FL | NEIGHBORHOOD |
| 110994 | Other | FL | HUMANA |
| 212947 | Other | FL | AMERIGROUP |
| 063887101 | Medicaid | FL | |
| 1202314 | Other | FL | UNITED HEALTHCARE |
| 02871 | Other | FL | BCBS |
| 014227 | Other | FL | AVMED |
| 171113 | Other | FL | JMH |
| 012 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0046576 | FL | MD | Specialist |
| ME46576 | FL | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1063519452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16241 BISCAYNE BLVD",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "33160",
"telephone_number": "305-947-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-596-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0046576",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME46576",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME46576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "650122664",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD",
"identifier": "001785",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "110994",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "212947",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063887101",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1202314",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02871",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "014227",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JMH",
"identifier": "171113",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "012",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.