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Individual

RAFAEL E PADILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-5172
(401) 444-5090
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD10465
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010465
TUFTS HEALTHPLAN
MA
01
2378
NEIGHBORHOOD HEALTH PLANS
RI
01
3096599
MEDICAID
MA
01
407129
BLUE CHIP
RI
05
RP33653
RI
Enumeration date
08/29/2006
Last updated
02/23/2023
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