Individual
DR. HADEILY EVANGELINA SALAZAR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 324-3431
(219) 362-3802
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2461
(219) 325-6439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01074872A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151020036
MEDICARE PTAN
IN
05
—
201297410
—
IN
Enumeration date
11/02/2012
Last updated
09/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us