Healthcare Provider Details

I. General information

NPI: 1205814357
Provider Name (Legal Business Name): GERARDO P CARINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2006
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 SUMMIT AVE
PROVIDENCE RI
02906-2853
US

IV. Provider business mailing address

PO BOX 414695
BOSTON MA
02241-4695
US

V. Phone/Fax

Practice location:
  • Phone: 401-793-4501
  • Fax:
Mailing address:
  • Phone: 401-444-3239
  • Fax: 401-444-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD11676
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD11676
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: