Reynaldo Puertollan Baduya in Providence - General Practice
Reynaldo Puertollan Baduya - NPI 1356409247
Reynaldo Puertollan Baduya is a General Practice in Providence, Rhode Island. Reynaldo Puertollan Baduya practices all healthcare services and medical treatments related to General Practice. The NPI Number for Reynaldo Puertollan Baduya is 1356409247. The last update date is 2007-07-08.
Reynaldo Puertollan Baduya's current location address is 252 Adelaide Ave, Providence, Rhode Island. You can contact this provider via phone number 4019412600 and fax number 4019412695. The mailing address for Reynaldo Puertollan Baduya is 252 Adelaide Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reynaldo Puertollan Baduya |
|---|---|
| Address | 252 Adelaide Ave, Providence, Rhode Island |
| Phone Number | 4019412600 |
| Fax Number | 4019412695 |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1356409247 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 252 Adelaide Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29071833 |
| Phone Number | 4019412600 |
| Fax Number | 4019412695 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DEN02491 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Reynaldo Puertollan Baduya by the Centers for Medicare & Medicaid Services?
The Reynaldo Puertollan Baduya has been issued the NPI (National Provider Identifier) 1356409247. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Reynaldo Puertollan Baduya is geographically located?
The Reynaldo Puertollan Baduya is physically situated at the following location: 252 Adelaide Ave, Providence, RI, 29071833.
What is Reynaldo Puertollan Baduya's specialized field of practice, and what is the corresponding taxonomy classification code?
The Reynaldo Puertollan Baduya's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Reynaldo Puertollan Baduya receive its 1356409247 assignment from the Centers for Medicare & Medicaid Services?
The Reynaldo Puertollan Baduya was assigned its 1356409247 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Reynaldo Puertollan Baduya most recently updated or revised?
The details related to Reynaldo Puertollan Baduya, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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