NPI 1285730804 · live from the CMS NPI Registry
Artemio M Manansala, MD
Radiology, Diagnostic Radiology in Pawtucket, RI. National Provider Identifier 1285730804, active.
NPI record
| NPI | 1285730804 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Brewster St, Pawtucket, RI 02860 |
| Practice phone | 401-729-2617 |
| Mailing address | 185 Rykowski Ln Ste 101, Middletown, NY 10941 |
| Enumerated | September 15, 2006 |
| Last updated | July 26, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 11622 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.