Individual
CLAUDIA JANET CARTAGENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 722-2400
(401) 728-3920
Mailing address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 722-2400
(401) 728-3920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00400
RI
363AM0700X
Medical Physician Assistant
Primary
PA00400
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01/15/2008
NHPRI
RI
01
—
04-15-2009
UNITED HEALTH CARE
RI
05
—
1508089
—
RI
01
—
1508089871
NPI
RI
01
—
32716-3
BLUECHIP
RI
01
—
414115
BCBSRI
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
01
—
979005394
RI MEDICARE
RI
Enumeration date
04/11/2007
Last updated
03/17/2018
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