Individual provider Active NPI

Erick M Salado, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1528077609
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0056414 Issued in FL
Practice address
4445 W 16TH Ave
Suite 250
Hialeah, FL 33012-7189
Phone
(305) 826-4570
Fax
(305) 827-1404
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0056414 FL Primary

Addresses

Primary practice location

4445 W 16TH Ave
Suite 250
Hialeah, FL 33012-7189

Mailing address

4445 W 16TH Ave
Suite 250
Hialeah, FL 33012-7189
Phone (305) 826-4570

Other identifiers 1

IdentifierTypeStateIssuer
062378400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000318 FL Practitioner - Orthopedic Surgery 8729069166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0056414FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1528077609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 250",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "305-826-4570",
            "fax_number": "305-827-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 250",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "305-826-4570",
            "fax_number": "305-827-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALADO",
        "first_name": "ERICK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "0056414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062378400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.