MEDICARE: DR. RICK MANUEL QUILES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD11641	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518956184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICK MANUEL QUILES M.D.

Provider Business Mailing Address
First Line	:	9 CARLO CT
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02921-2603
Country	:	US
Telephone Number	:	401-419-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 PARK AVE
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02910-2036
Country	:	US
Telephone Number	:	401-274-6575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	02/03/2012

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