| Salud Primary Care Llc | |
|
60 Gillett St Suite 402 Hartford CT 06105-2637 | |
| (860) 233-0112 | |
| (860) 233-0120 |
| Full Name | Salud Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Gillett St, Hartford, Connecticut |
| Authorized Official Name and Position | Julian Nieves (PRESIDENT) |
| Authorized Official Contact | 8602330112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud Primary Care Llc 60 Gillett St Suite 402 Hartford CT 06105-2637 Ph: (860) 233-0112 | Salud Primary Care Llc 60 Gillett St Suite 402 Hartford CT 06105-2637 Ph: (860) 233-0112 |
| NPI Number | 1457637787 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457637787 | NPI | - | NPPES |
| 008035331 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036736 (Connecticut) | Primary |
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