SALUD OPTIMA DIRECT PLLC NPI 1588071492

NPI Information

  • NPI: 1588071492
  • Provider Name: SALUD OPTIMA DIRECT, PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: OPTIMAL HEALTH DIRECT
  • Address: 152 GARRETT RD
    UPPER DARBY, PA
    ZIP 19082
  • Phone: (484) 401-9012

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NPI Details

SALUD OPTIMA DIRECT, PLLC is a primary care clinic center in Upper Darby, PA. SALUD OPTIMA DIRECT, PLLC NPI is 1588071492. The provider is registered as an organization entity type.
The provider Other Name Is Optimal Health Direct.

The provider's business location address is:

152 GARRETT RD
UPPER DARBY, PA
ZIP 19082-113
Phone: (484) 401-9012
Fax: (484) 401-9012

The provider's authorized official is Marcus Rey Williams .
The authorized official title is Chief Medical Officer and has the following contact phone number (610) 425-1165.

The enumeration date for this NPI number is 7/14/2014 and was last updated on 7/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care428872PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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