NPI 1487400172 · live from the CMS NPI Registry
William Pacheco, DPM
Podiatrist, Foot & Ankle Surgery in Warwick, RI. National Provider Identifier 1487400172, active.
NPI record
| NPI | 1487400172 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 455 Toll Gate Rd, Warwick, RI 02886 |
| Practice phone | 401-737-7010 |
| Enumerated | April 24, 2024 |
| Last updated | June 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | LP00259 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.