| Bluespan Health LLC | |
|
1525 Wampanoag Trl Ste 202 Riverside RI 02915-1038 | |
| (401) 203-3636 | |
| (401) 203-3828 |
| Full Name | Bluespan Health LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1525 Wampanoag Trl Ste 202, Riverside, Rhode Island |
| Authorized Official Name and Position | Maria Aileen Soriano-pisaturo (MD, OWNER) |
| Authorized Official Contact | 5083610405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluespan Health LLC 1525 Wampanoag Trl Ste 202 Riverside RI 02915-1038 Ph: (401) 203-3636 | Bluespan Health LLC 1525 Wampanoag Trl Ste 202 Riverside RI 02915-1038 Ph: (401) 203-3636 |
| NPI Number | 1144180498 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 11/17/2025 |
| Certification Date | 11/17/2025 |
| Medicare PECOS PAC ID | 1850885195 |
|---|---|
| Medicare Enrollment ID | O20251213000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144180498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Maria a Soriano Pisaturo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598943250 PECOS PAC ID: 9739234287 Enrollment ID: I20130218000093 |
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