Provider Demographics
NPI:1053103895
Name:SALDIVAR, RICARDO ARTURO JR
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:ARTURO
Last Name:SALDIVAR
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7186 LAGO VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-4038
Mailing Address - Country:US
Mailing Address - Phone:956-455-1737
Mailing Address - Fax:
Practice Address - Street 1:7186 LAGO VISTA BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-4038
Practice Address - Country:US
Practice Address - Phone:956-455-1737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty