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General NPI Number Information
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NPI Number | 1336639970
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Entity Type | Individual
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Provider Name | CAROLINA ALTAGRACIA CHIOU MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 1 HOPPIN ST CORO WEST STE 202
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City | PROVIDENCE
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State | RI
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Zip | 02903-4141
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Country | US
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Telephone | 401-444-6551
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Fax |
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Provider Business Mailing Address
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Address Line | 117 ELLENFIELD ST STE 101
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City | PROVIDENCE
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State | RI
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Zip | 02905-4541
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Country | US
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Telephone | 401-444-6779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 291901
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | MD19988
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD19988
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License Number State | RI
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