Cerezo, Carolina

Cerezo, Carolina is an individual health care provider with primary practice located at 593 Eddy St Division Of Pediatric Gastroenterology & Nutrition, Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Cerezo, Carolina can be contacted via phone (401) 444-2827.

Contact Information

Primary practice address
593 Eddy St Division Of Pediatric Gastroenterology & Nutrition Providence RI 02903-4923
Phone: (401) 444-2827
Fax: (401) 444-8748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD11132 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 236679 Massachusetts

Profile Details

NPI number 1073596011
LBN Legal business name Cerezo, Carolina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Apr 23rd, 2014 - about 12 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 1073596011 NPPES
Rhode Island MEDICAID 7010598

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