MEDICARE: DR. CLARI J SALGADO RIOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	17,256	PR
2	208D00000X	General Practice Physician	ACN1271	FL

General Provider Information

NPI Number	:	1801052485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLARI J SALGADO RIOS MD

Provider Business Mailing Address
First Line	:	10801 CHARMWOOD DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-6263
Country	:	US
Telephone Number	:	813-340-4225
Fax Number	:

Provider Business Practice Location Address
First Line	:	13510 UNIVERSITY PLAZA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-4628
Country	:	US
Telephone Number	:	813-361-0070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	07/12/2022

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