NPI 1902167885 · live from the CMS NPI Registry
Carla Alexis De Venecia, M.D.
Radiology, Diagnostic Radiology in Warwick, RI. National Provider Identifier 1902167885, active.
NPI record
| NPI | 1902167885 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 125 Metro Center Blvd Ste 2000, Warwick, RI 02886 |
| Practice phone | 401-921-9202 |
| Mailing address | 125 Metro Center Blvd., Suite 2000, Warwick, RI 02886 |
| Enumerated | June 6, 2012 |
| Last updated | December 22, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MD17272 (RI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 285931 (MA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 16998 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.