Provider Demographics
NPI:1497471452
Name:SALVAT RIVERA, JOSUE PABLO SR (BSN)
Entity Type:Individual
Prefix:MR
First Name:JOSUE
Middle Name:PABLO
Last Name:SALVAT RIVERA
Suffix:SR
Gender:M
Credentials:BSN
Other - Prefix:MR
Other - First Name:JESUS
Other - Middle Name:
Other - Last Name:RIVERA VEGA
Other - Suffix:SR
Other - Last Name Type:Other Name
Other - Credentials:BSN
Mailing Address - Street 1:URB. LOS AIRES 42 CALLE CROMO
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-649-7261
Mailing Address - Fax:
Practice Address - Street 1:URB. LOS AIRES B 22 CALLE CROMO
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-8855
Practice Address - Country:US
Practice Address - Phone:787-649-7261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR34757163WC3500X, 163WD0400X, 163WG0600X, 163WH0200X, 163WI0500X, 163WP2201X, 163WX1500X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care