Healthcare Provider Details

I. General information

NPI: 1912562992
Provider Name (Legal Business Name): CANDICE S BEAUBIAN-ESPINOZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 POST RD
WARWICK RI
02886-3077
US

IV. Provider business mailing address

2756 POST RD # 103
WARWICK RI
02886-3077
US

V. Phone/Fax

Practice location:
  • Phone: 401-691-6000
  • Fax:
Mailing address:
  • Phone: 401-691-6000
  • Fax: 401-738-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD19960
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: