Individual
EMILIO S. BELAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
Mailing address
PO BOX 65377, CHARLOTTE, NC 28265-0377
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10920
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27509-5
BLUECROSS BLUESHIELD
RI
01
—
409700
BLUE CHIP
RI
05
—
7009960
—
RI
01
—
P00171408
RAILROAD
—
Enumeration date
02/20/2006
Last updated
10/25/2007
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