Rafael Enrique Liporaci Lucena, MD | |
174 Armistice Blvd, Pawtucket, RI 02860-3280 | |
(401) 723-7578 | |
Not Available |
Full Name | Rafael Enrique Liporaci Lucena |
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Gender | Male |
Speciality | Internal Medicine |
Location | 174 Armistice Blvd, Pawtucket, 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 |
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1366715633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD15059 (Rhode Island) | Primary |
Entity Name | Prospect Chartercare Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629493135 PECOS PAC ID: 0840416657 Enrollment ID: O20140730001883 |
Mailing Address | Practice Location Address |
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Rafael Enrique Liporaci Lucena, MD 3 Regency Plz, Apt 709e, Providence, RI 02903-3161 Ph: (917) 297-0916 | Rafael Enrique Liporaci Lucena, MD 174 Armistice Blvd, Pawtucket, RI 02860-3280 Ph: (401) 723-7578 |
Mahmoud Mowafy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Mriganka Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 East Ave, Suite 110, Pawtucket, RI 02860 Phone: 401-728-7270 | |
Amber Gul, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 School St, Suite 210, Pawtucket, RI 02860 Phone: 401-726-9790 Fax: 401-728-8606 | |
Dr. Madhavi Yerneni, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 407 East Ave, Suite 120, Pawtucket, RI 02860 Phone: 401-725-4700 Fax: 401-725-4740 | |
Waseem Barham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2221 Fax: 401-729-2202 | |
Jaleh Fallah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 | |
Abraham Walusimbi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2258 Fax: 401-729-3343 |