| Michelle Dominguez Medina, | |
|
593 Eddy St, Providence, RI 02903-4923 | |
| (401) 444-5603 | |
| Not Available |
| Full Name | Michelle Dominguez Medina |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 1 Years |
| Location | 593 Eddy St, Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255283669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | LDN01639 (Rhode Island) | Primary |
| Provider Name | Rhode Island Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861420333 PECOS PAC ID: 8921900044 Enrollment ID: O20040121000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Dominguez Medina, 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5603 | Michelle Dominguez Medina, 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5603 |
Miss Megan Naquin, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 439 Benefit St, Providence, RI 02903 Phone: 401-262-0841 |
Lily Ann Curreri, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 |
Jeannie Dorr, RD Dietitian Medicare: Medicare Enrolled Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115 |
Stephanie M O'donnell, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 |
Mrs. Sarah E. W. Rambikur, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4847 |
Eliza Mellion, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Exchange St, Providence, RI 02903 Phone: 617-505-1804 |
Hailey Rae Fera, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 70 Bath St, Providence, RI 02908 Phone: 401-351-6700 |