| NPI | 1487203303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIANNYS RIVAS Fnp C 401-642-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 251E00000X Home Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-01-24 |