Healthcare Provider Details

I. General information

NPI: 1477883825
Provider Name (Legal Business Name): NEW ENGLAND MEDICAL OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2010
Last Update Date: 05/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 CENTERVILLE RD SUITE 102
WARWICK RI
02886-4354
US

IV. Provider business mailing address

469 CENTERVILLE RD SUITE 102
WARWICK RI
02886-4354
US

V. Phone/Fax

Practice location:
  • Phone: 401-889-2300
  • Fax: 401-739-2300
Mailing address:
  • Phone: 401-889-2300
  • Fax: 401-739-2300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number11705
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number11706
License Number StateRI

VIII. Authorized Official

Name: DR. RAFAEL ARBUES TORRES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-632-6123