NPI 1629861919 · live from the CMS NPI Registry
Mirna J Manzano
Community Health Worker in Central Falls, RI. National Provider Identifier 1629861919, active.
NPI record
| NPI | 1629861919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Community Health Worker 172V00000X |
| Practice location | 626 Broad St, Central Falls, RI 02863 |
| Practice phone | 401-728-5920 |
| Enumerated | May 28, 2025 |
| Last updated | May 28, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | — |
| Home Health Aide | 374U00000X | — (RI) |
| Community Health Worker primary | 172V00000X | 201806 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.