NPI 1073634374 · live from the CMS NPI Registry
Centerville Podiatry LLC
Podiatrist, Sports Medicine in Warwick, RI. National Provider Identifier 1073634374, active.
NPI record
| NPI | 1073634374 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Sports Medicine 213ES0000X |
| Practice location | 469 Centerville Rd, Suite 105, Warwick, RI 02886 |
| Practice phone | 401-738-9200 |
| Enumerated | April 3, 2007 |
| Last updated | June 14, 2016 |
| Authorized official | Christine Cabral, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Sports Medicine primary | 213ES0000X | DPM00277 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.