Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME 108242 | FL |
NPI | 1295998177 |
---|---|
Provider Name | Rafael Emerick Salas |
First Address | Pembroke Pines, FL 33028-3030 |
Second Address | Miami, FL 33137-4158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 07/04/2015 |