| Maria Teresa Perez Carballo, MD | |
|
1 Hoppin St, Providence, RI 02903-4141 | |
| (401) 444-4612 | |
| Not Available |
| Full Name | Maria Teresa Perez Carballo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 1 Hoppin St, 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 |
|---|---|---|---|
| 1508277013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 270063 (Massachusetts) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | MD17276 (Rhode Island) | Primary |
| Entity Name | Boston Childrens Heart Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982680922 PECOS PAC ID: 8729071675 Enrollment ID: O20040406001030 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121026000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Teresa Perez Carballo, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Maria Teresa Perez Carballo, MD 1 Hoppin St, Providence, RI 02903-4141 Ph: (401) 444-4612 |
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 |