| Ernesto Mirabal, M.d., Llc | |
|
1044 Broad St Central Falls RI 02863-1507 | |
| (401) 722-4086 | |
| Not Available |
| Full Name | Ernesto Mirabal, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1044 Broad St, Central Falls, Rhode Island |
| Authorized Official Name and Position | Ernesto Antonio Mirabal (MD) |
| Authorized Official Contact | 4012268716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernesto Mirabal, M.d., Llc 1044 Broad St Central Falls RI 02863-1507 Ph: (401) 226-8716 | Ernesto Mirabal, M.d., Llc 1044 Broad St Central Falls RI 02863-1507 Ph: (401) 722-4086 |
| NPI Number | 1720502008 |
|---|---|
| Provider Enumeration Date | 07/28/2017 |
| Last Update Date | 10/31/2017 |
| Medicare PECOS PAC ID | 9032476239 |
|---|---|
| Medicare Enrollment ID | O20171127000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720502008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD11356 (Rhode Island) | Primary |
| Provider Name | Ernesto A Mirabal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215953377 PECOS PAC ID: 1658331871 Enrollment ID: I20041013000002 |
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