Basic Information
Provider Information
NPI: 1972156966
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALEM HERNANDEZ
FirstName: SAIDY
MiddleName: AMAL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: COND VISTA VERDE
Address2: APT 902 AVE SAN IGNACIO
City: SAN JUAN
State: PR
PostalCode: 00921
CountryCode: US
TelephoneNumber: 7875324464
FaxNumber:  
Practice Location
Address1: PSIQUIATRIA RCM, EDIF PRINCIPAL RCM DR GUILLERMO ARBONA
Address2: 9TH FLOOR PSYCHIATRY DEPARTMENT
City: RIO PIEDRAS
State: PR
PostalCode: 009365067
CountryCode: US
TelephoneNumber: 7877660940
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/19/2019
LastUpdateDate: 04/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X22539PRY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home