Cranston Pediatrics Llc Dba Park Pediatrics Inc
Pediatrics
Cranston Pediatrics Llc Dba Park Pediatrics Inc is a Cranston, Rhode Island based Pediatric center with medical specialization in
General Pediatrics. Cranston Pediatrics Llc Dba Park Pediatrics Inc is doing business as
Park Pediatrics, Inc.
It is located at
801 Park Ave, Cranston, Rhode Island - 02910-2036. They can be contacted on phone at
401-274-6575 and fax number 401-273-2597.
NPI number (Unique professional ID) for Cranston Pediatrics Llc Dba Park Pediatrics Inc is
1669690418 which was assigned by NPPES on 24 Apr, 2007 and it was last updated on 22 Apr, 2008.
Cranston Pediatrics Llc Dba Park Pediatrics Inc license number is
MD11641 for Pediatrics (208000000X) in Rhode Island.
Cranston Pediatrics Llc Dba Park Pediatrics Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Cranston Pediatrics Llc Dba Park Pediatrics Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Cranston Pediatrics Llc Dba Park Pediatrics Inc |
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| Other Name : | Park Pediatrics, Inc |
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Business Address:
Cranston Pediatrics Llc Dba Park Pediatrics Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 801 Park Ave
Cranston, RI, 02910-2036
United States |
|---|
| Phone Number : | 401-274-6575 |
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| Fax Number : | 401-273-2597 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669690418 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Apr, 2007 |
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| Last Updated On : | 22 Apr, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Rickmanuel Quiles |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 401-274-6575 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cranston Pediatrics Llc Dba Park Pediatrics Inc are as mentioned. Primary taxonomy code for Cranston Pediatrics Llc Dba Park Pediatrics Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD11641 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Cranston Pediatrics Llc Dba Park Pediatrics Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30943 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| MD 11641 | Other | RI | LICENSE NUMBER |
| 25-79403 | Other | RI | UNITED HEALTH PLAN |
| 31923-4 | Other | RI | BLUE CROSS BLUE SHIELD |
| 412877 | Other | RI | HEALTHMATE |
| 412877 | Other | RI | BLUE CHIP |
| 9004316 | MEDICAID | RI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 801 Park Ave
Cranston, RI, 02910-2036
United States |
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| Phone Number : | 401-274-6575 |
|---|
| Fax Number : | 401-273-2597 |
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Business Location:
Patients can refer following map for directions to
Cranston Pediatrics Llc Dba Park Pediatrics Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.