Healthcare Provider Details

I. General information

NPI: 1700713542
Provider Name (Legal Business Name): THAIS M B RIBEIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BISHOP ST
FRAMINGHAM MA
01702-8323
US

IV. Provider business mailing address

112 SOUTH AVE
NATICK MA
01760-4609
US

V. Phone/Fax

Practice location:
  • Phone: 508-879-2250
  • Fax:
Mailing address:
  • Phone: 774-477-2918
  • Fax: 774-477-2918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: