Individual
JORGE ARMANDO BRENES SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Mailing address
5067 55TH ST NW, ROCHESTER, MN 55901-3809
(507) 292-7070
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
55032
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01234114
RAILROAD MEDICARE
MN
Enumeration date
07/16/2009
Last updated
04/23/2024
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