Salud Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036736 Issued in CT

Legal business name

SALUD PRIMARY CARE LLC

Practice address

60 Gillett St
Suite 402
Hartford, CT 06105-2637

Phone

(860) 233-0112

Fax

(860) 233-0120

NPI assigned

Nov 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julian Nieves III, MD

Title

President

Phone

(860) 233-0112

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1457637787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GILLETT ST",
            "address_2": "SUITE 402",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052637",
            "telephone_number": "860-233-0112",
            "fax_number": "860-233-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GILLETT ST",
            "address_2": "SUITE 402",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052637",
            "telephone_number": "860-233-0112",
            "fax_number": "860-233-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-233-0112",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "036736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008035331",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon N Salesky, APRN
• Olga Salianski, MD
• Kaitlin Finley Salkeld, PA-C
• Andrew Lister Salner, M.D.
• Rosanne Salonia, MD
• Rajeev Kishore Salunke, MBBS
• Nicholas Salvador, PA
• Salvation Army Mens Social Service
• Kimberly M Salvatore, CRNA
• Eleonora Alicia Salvetti

• Internal Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.