| Peris Medical Corporation | |
|
655 Broad Street Suite 201 Providence RI 02907-1510 | |
| (401) 383-6748 | |
| Not Available |
| Full Name | Peris Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 Broad Street, Providence, Rhode Island |
| Authorized Official Name and Position | Emilio Rodriguez-peris (PROPIETOR) |
| Authorized Official Contact | 4012266248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peris Medical Corporation 655 Broad Street Suite 201 Providence RI 02907-1510 Ph: (401) 383-6748 | Peris Medical Corporation 655 Broad Street Suite 201 Providence RI 02907-1510 Ph: (401) 383-6748 |
| NPI Number | 1295952802 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 04/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295952802 | NPI | - | NPPES |
| ER48067 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD10391 (Rhode Island) | Primary |
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