Healthcare Provider Details

I. General information

NPI: 1750032413
Provider Name (Legal Business Name): URBAN PERINATAL EDUCATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2022
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 COTTAGE ST
PAWTUCKET RI
02860-3026
US

IV. Provider business mailing address

215 COTTAGE ST
PAWTUCKET RI
02860-3026
US

V. Phone/Fax

Practice location:
  • Phone: 401-229-9225
  • Fax: 401-773-9033
Mailing address:
  • Phone: 401-229-9225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. QUATIA OSORIO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-229-9225