Healthcare Provider Details

I. General information

NPI: 1457906208
Provider Name (Legal Business Name): JOSE A PINEIRO SALGADO AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PASEO SAN PABLO EDIFICIO DOCTOR ARTURO CADILLA VINAS OFICINA 412
BAYAMON PR
00961-7028
US

IV. Provider business mailing address

COVE BY THE SEA EDIFICIO A APARTAMENTO 501
VEGA ALTA PR
00692-4302
US

V. Phone/Fax

Practice location:
  • Phone: 787-395-3333
  • Fax: 787-395-3335
Mailing address:
  • Phone: 787-395-3333
  • Fax: 787-395-3335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1014
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: