Individual
DR. TERESA LORENA JERALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
967 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4934
(401) 312-0444
(401) 312-0446
Mailing address
967 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4934
(401) 312-0444
(401) 312-0446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 08939
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23120-6
BLUE CROSS & BLUE SHIELD
RI
01
—
BLUE CHIP
400266
RI
05
—
MS47209
—
RI
01
—
NEIGHBORHOOD HEALTH
1688
RI
01
—
TUFTS
406145
RI
01
—
UNITED HEALTH CARE
12-02780
RI
Enumeration date
09/28/2006
Last updated
03/27/2013
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