Individual
CAROLINA FONSECA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94 ANGELL ST, PROVIDENCE, RI 02906-1211
(919) 274-5052
(919) 371-5462
Mailing address
94 ANGELL ST, PROVIDENCE, RI 02906-1211
(919) 274-5052
(919) 371-5462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD14725
RI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
283408
MA
Other
Enumeration date
06/23/2010
Last updated
07/07/2020
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