Abuelo, Dianne

Abuelo, Dianne is an individual health care provider with primary practice located at 593 Eddy St Pob 234, Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abuelo, Dianne can be contacted via phone (401) 444-8361.

Contact Information

Primary practice address
593 Eddy St Pob 234 Providence RI 02903-4923
Phone: (401) 444-8361
Fax: (401) 444-3288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 05091 Rhode Island

Profile Details

NPI number 1205889367
LBN Legal business name Abuelo, Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205889367 NPPES
Rhode Island MEDICAID 9006052

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