# RHODE ISLAND INTEGRATED MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RI Integrated Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104848670
- **Authorized official:** DR. VICTOR M PEDRO DC (DIRECTOR)
- **Authorized official phone:** (401) 781-3374

## Contact information

- **Practice address:** 521 PARK AVE, CRANSTON, RI 02910-2346
- **Practice address phone:** (401) 781-3374
- **Practice address fax:** (401) 781-3376
- **Mailing address:** 521 PARK AVE, CRANSTON, RI 02910
- **Mailing address phone:** (401) 781-3374
- **Mailing address fax:** (401) 781-3376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0100X | Occupational Health Chiropractor | OT0018 | RI | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 07/23/2008