Provider Demographics
NPI:1407914039
Name:SALGUEIRO, CARLOS ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:ALBERTO
Last Name:SALGUEIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3685
Mailing Address - Country:US
Mailing Address - Phone:954-349-1949
Mailing Address - Fax:954-389-9474
Practice Address - Street 1:1840 MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326
Practice Address - Country:US
Practice Address - Phone:954-349-1949
Practice Address - Fax:954-389-9474
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1184392084P0800X
ARE11272084P0800X
FLME734142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203956909Medicaid
AR132862001Medicaid
AR132862001Medicaid
MO203956909Medicaid