Healthcare Provider Details

I. General information

NPI: 1326402587
Provider Name (Legal Business Name): GABRIELIN FIGUERADO LULO DACM, RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 CENTERVILLE RD STE 101
WARWICK RI
02886-4355
US

IV. Provider business mailing address

256 QUARRY ST
EAST PROVIDENCE RI
02914-5124
US

V. Phone/Fax

Practice location:
  • Phone: 401-589-5757
  • Fax: 401-414-0660
Mailing address:
  • Phone: 774-644-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN2289161
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDA00491
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: