Individual
DR. ERNESTO A MIRABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 BROAD ST STE 1, CENTRAL FALLS, RI 02863-1510
(401) 226-8716
Mailing address
54 BELVEDERE DR, CRANSTON, RI 02920-4504
(401) 785-1459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11356
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003647
—
RI
Enumeration date
07/14/2006
Last updated
04/02/2026
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