Leslia F Gonzalez, MD | |
355 Prairie Ave, Providence, RI 02905-1928 | |
(401) 444-0570 | |
(401) 444-0427 |
Full Name | Leslia F Gonzalez |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 355 Prairie Ave, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861059727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | LP04558 (Rhode Island) | Secondary |
208000000X | Pediatrics | MD18421 (Rhode Island) | Primary |
Entity Name | The Providence Community Health Centers Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007 |
Mailing Address | Practice Location Address |
---|---|
Leslia F Gonzalez, MD 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400 | Leslia F Gonzalez, MD 355 Prairie Ave, Providence, RI 02905-1928 Ph: (401) 444-0570 |
Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831 | |
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870 | |
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574 | |
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519 | |
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804 |