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Individual

DR. REUBEN ANTHONY MACIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 402-1090
Mailing address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
56795
KY
207X00000X
Orthopaedic Surgery Physician
Primary
MD20647
RI
207X00000X
Orthopaedic Surgery Physician
T2205
TX

Other

Enumeration date
04/22/2016
Last updated
07/14/2025
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