Individual
RITA MARIA MEDRANO JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY STREET, ALDRICH BUILDING ROOM 126, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
593 EDDY STREET, ALDRICH BUILDING ROOM 126, PROVIDENCE, RI 02903
(401) 444-8450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020038090
MO
390200000X
Student in an Organized Health Care Education/Training Program
BP10059585
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP06517
RI
Other
Enumeration date
06/27/2017
Last updated
04/30/2026
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