Healthcare Provider Details

I. General information

NPI: 1982307609
Provider Name (Legal Business Name): CONCERTOCARE MEDICAL GROUP OF RHODE ISLAND, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DORRANCE ST STE 700
PROVIDENCE RI
02903-2014
US

IV. Provider business mailing address

811 MAIN ST., 7TH FL. ATTN: LBX 801280
KANSAS CITY MO
64105
US

V. Phone/Fax

Practice location:
  • Phone: 949-292-6258
  • Fax:
Mailing address:
  • Phone: 949-292-6258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: CRISTINE E. OROPEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 949-292-6258