Eusebio Guerrero Salud Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME20955 Issued in FL

Practice address

441 S 11TH St
Lake Wales, FL 33853-4251

Phone

(863) 676-7904

Fax

(863) 676-2158

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palm Beach Eye Center Inc

  • Ophthalmology Physician
  • Lake Worth, FL
  • NPI 1497753305
  Medicare reassignment NPD
• Palm Beach Eye Center Inc

  • Ophthalmology Physician
  • Delray Beach, FL
  • NPI 1912568387
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548485188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534251",
            "telephone_number": "863-676-7904",
            "fax_number": "863-676-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S 11TH ST",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534251",
            "telephone_number": "863-676-7904",
            "fax_number": "863-676-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALUD",
        "first_name": "EUSEBIO",
        "middle_name": "GUERRERO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME20955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Palm Orthopedic Sports & Spine Institute, LLC
• Royal Palm Orthopedics Sports Medicine and Institute
• Luis E Ruiz Velez
• Rita Ryan Ryan, LCSW
• Vanessa M Salazar
• San's Loving Hands, LLC.
• Chiquita C Sapp
• Jorge Eliecer Sara Ochoa, MD
• Schelmety Care Provider, Corp
• Jodie Demay Schmidt, ARNP-C

• Specialist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.