Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Su Salud Clinic PSC

Organization Family Medicine Physician · NPI 1689941932

Su Salud Clinic PSC is a Family Medicine Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4101 Diplomat Plaza Ctr
Fort Wayne, IN 46806-4531
Phone: (260) 444-5695
Fax: (260) 444-5665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01056928A (IN)

Record details

NPI number1689941932
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Gomez — Family Practice/Owner · (260) 444-5695
NPI enumeratedNovember 30, 2011
Last updated in NPPESJuly 16, 2012
Mailing address4101 Diplomat Plaza Ctr, Fort Wayne, IN 46806-4531

Other providers in Fort Wayne