Individual
MISS CAROLINA JIMENEZ MADIEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250316
MA
2084P0800X
Psychiatry Physician
MD14999
RI
2084P0805X
Geriatric Psychiatry Physician
MD14999
RI
Other
Enumeration date
09/19/2008
Last updated
01/29/2025
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