Individual
MR. ROLANDO A. PEREA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
281 LINCOLN ST, WORCESTER, MA 01605-2138
(508) 793-6000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37098
RI
363L00000X
Nurse Practitioner
Primary
RN175412
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30295-5
BLUECROSS BLUESHIELD
RI
01
—
408358
BLUE CHIP
RI
05
—
7008692
—
RI
01
—
P00171415
RAILROAD
—
Enumeration date
02/20/2006
Last updated
05/19/2011
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