Afonso, Diana M.

Afonso, Diana M. is an individual health care provider with primary practice located at 355 Prairie Ave , Providence RI 02905-1928. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Afonso, Diana M. can be contacted via phone (401) 415-9000.

Contact Information

Primary practice address
355 Prairie Ave Providence RI 02905-1928
Phone: (401) 415-9000
Fax: (401) 396-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00561 Rhode Island

Profile Details

NPI number 1750690392
LBN Legal business name Afonso, Diana M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2010
Last updated Jun 18th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750690392 NPPES
Rhode Island Other 111010 BCBSRI
Rhode Island Other 939025129 BCBSRI
Rhode Island Other 0018646 BCBSRI
Rhode Island Other 10-01-2010 BCBSRI
Rhode Island Other 11-11-2010 BCBSRI
Rhode Island MEDICAID DA82553 BCBSRI

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