Provider Demographics
NPI:1306812292
Name:SALGADO, JOSE R (DC)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:R
Last Name:SALGADO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 364011
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4011
Mailing Address - Country:US
Mailing Address - Phone:787-720-0345
Mailing Address - Fax:
Practice Address - Street 1:C6 CALLE ACUARELA
Practice Address - Street 2:URB HIGHLAND GARDENS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3525
Practice Address - Country:US
Practice Address - Phone:787-720-0345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR233121OtherPREFERRED HEALTH
PR9690022OtherHUMANA
PR62846OtherSSS