Carlos a. Salup, M.D. P.a.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME41732 Issued in FL

Legal business name

CARLOS A. SALUP, M.D. P.A.

Practice address

920 37TH PL
Suite 105
Vero Beach, FL 32960-6573

Phone

(772) 778-7844

Fax

(772) 299-1595

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Carlos A. Salup, M.D.

Title

Owner

Phone

(772) 778-7844

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1891108338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 37TH PL",
            "address_2": "SUITE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606573",
            "telephone_number": "772-778-7844",
            "fax_number": "772-299-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 37TH PL",
            "address_2": "SUITE 105",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606573",
            "telephone_number": "772-778-7844",
            "fax_number": "772-299-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A. SALUP, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "SALUP",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-778-7844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME41732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE GROUP PROVIDER NUMBER",
            "identifier": "006AX",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE INDIVIDUAL PROVIDER NUMBER",
            "identifier": "96833",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.