Organization
SALUD PRIMARY CARE LLC
Active
Organization
SALUD PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN NIEVES III MD (PRESIDENT)
(860) 233-0112
Entity
Organization
Contact information
Practice address
60 GILLETT ST, SUITE 402, HARTFORD, CT 06105-2637
(860) 233-0112
(860) 233-0120
Mailing address
60 GILLETT ST, SUITE 402, HARTFORD, CT 06105-2637
(860) 233-0112
(860) 233-0120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036736
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008035331
—
CT
Enumeration date
11/01/2011
Last updated
02/29/2016
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