NPIMap

Organization Active NPI

Alfred G Salas MD PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Hollywood, FL
National Provider Identifier
1548675788
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0026320 Issued in FL
Legal business name
ALFRED G SALAS MD PA
Practice address
2750 N 29TH Ave
114-C
Hollywood, FL 33020-1521
Phone
(954) 666-0632
Fax
(954) 666-0367
NPI assigned
Jun 26, 2014
Last updated
Jun 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Alfred G Salas, MDNPI 1699724286
Title
Owner
Phone
(954) 666-0632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0026320 FL Primary

Addresses

Primary practice location

2750 N 29TH Ave
114-C
Hollywood, FL 33020-1521

Mailing address

2750 N 29TH Ave
Suite 114-C
Hollywood, FL 33020-1521
Phone (954) 666-0632

National Provider Directory

National Provider Directory

Locations

2750 N 29th Ave
Ste 114C
Hollywood, FL 33020
Phone (215) 917-9515

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1548675788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N 29TH AVE",
            "address_2": "SUITE 114-C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201521",
            "telephone_number": "954-666-0632",
            "fax_number": "954-666-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N 29TH AVE",
            "address_2": "114-C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201521",
            "telephone_number": "954-666-0632",
            "fax_number": "954-666-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED G SALAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-666-0632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0026320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.