Healthcare Provider Details

I. General information

NPI: 1942018387
Provider Name (Legal Business Name): CINDY ELIZABETH OVIEDO RIVERA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BUCKLIN ST UNIT 3
PROVIDENCE RI
02907-2547
US

IV. Provider business mailing address

68 GLOUCESTER ST FL 1
PROVIDENCE RI
02908-1410
US

V. Phone/Fax

Practice location:
  • Phone: 401-443-4008
  • Fax:
Mailing address:
  • Phone: 401-497-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN73901
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN73901
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: