# JAVIER R RIOS MD A MEDICAL PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JAVIER R RIOS MD A PROFESSIONAL CORPORATION
- **Other names:** Tucson Clinica Medica Familiar
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497829949
- **Legal business name:** JAVIER R RIOS MD A PROFESSIONAL CORPORATION
- **Authorized official:** DR. JAVIER R RIOS MD (CEO/ MEDICAL DIRECTOR)
- **Authorized official phone:** (951) 523-0117

## Contact information

- **Practice address:** 3770 S 16TH AVE, TUCSON, AZ 85713-6081
- **Practice address phone:** (520) 620-1200
- **Practice address fax:** (520) 620-1400
- **Mailing address:** 495 E RINCON ST STE 215, CORONA, CA 92879-1378
- **Mailing address phone:** (951) 523-0117
- **Mailing address fax:** (951) 394-0685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30370 | AZ | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 03/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 706393 | AHCCCS | AZ |
| 01 | — | 78444 | MEDICARE PIN | AZ |
| 01 | — | Z78590 | MEDICARE PIN | AZ |