Duarte, Kristina Marie
Duarte, Kristina Marie is an individual health care provider with primary practice located at 1 Randall Sq , Providence RI 02904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Duarte, Kristina Marie can be contacted via phone (401) 274-6339.Contact Information
Primary practice address
1 Randall Sq
Providence RI 02904
Phone: (401) 274-6339
Fax: (401) 456-6290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD09763 | Rhode Island |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 204590 | Massachusetts |
Profile Details
| NPI number | 1922076736 |
|---|---|
| LBN Legal business name | Duarte, Kristina Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Dec 15th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922076736 | NPPES |
| Rhode Island | Other | 007059638 | MEDICARE PTAN |
| Rhode Island | MEDICAID | 9022202 | MEDICARE PTAN |
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