Individual
ENRIQUE ALBERTO BAEZ DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3985
(401) 444-3986
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19852
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2021
Last updated
05/21/2024
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