Individual
DR. EMILIO RODRIGUEZ-PERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 BROAD STREET, SUITE 201, PROVIDENCE, RI 02907
(401) 383-6748
Mailing address
655 BROAD ST, PROVIDENCE, RI 02907-1444
(401) 226-6248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 10391
RI
207R00000X
Internal Medicine Physician
Primary
MD10391
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ER48067
—
RI
Enumeration date
10/04/2006
Last updated
10/17/2024
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