| Family Health & Sports Medicine Llc | |
|
725 Reservoir Ave Cranston RI 02910-4448 | |
| (401) 943-6910 | |
| (401) 946-5130 |
| Full Name | Family Health & Sports Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 725 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Albert J Puerini (MEMBER) |
| Authorized Official Contact | 4019436910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health & Sports Medicine Llc 725 Reservoir Ave Cranston RI 02910-4448 Ph: (401) 943-6910 | Family Health & Sports Medicine Llc 725 Reservoir Ave Cranston RI 02910-4448 Ph: (401) 943-6910 |
| NPI Number | 1275955718 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 01/23/2014 |
| Medicare PECOS PAC ID | 4789809591 |
|---|---|
| Medicare Enrollment ID | O20140711001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275955718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey M Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134113749 PECOS PAC ID: 2769433945 Enrollment ID: I20050204000337 |
| Provider Name | Amity Rubeor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134173206 PECOS PAC ID: 7113942392 Enrollment ID: I20070823000925 |
| Provider Name | Albert J Puerini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821082777 PECOS PAC ID: 4789746942 Enrollment ID: I20081222000498 |
| Provider Name | Mark Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053412767 PECOS PAC ID: 9537053731 Enrollment ID: I20101027000167 |
| Provider Name | Alexandra N Harnois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063871200 PECOS PAC ID: 4486953668 Enrollment ID: I20160422001640 |
Fallon & Horan Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1592 Broad St, Cranston, RI 02905 Phone: 401-467-3350 | |
Park Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Park Ave, Cranston, RI 02905 Phone: 800-927-0002 | |
Roberto Ortiz M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Reservoir Ave, Cranston, RI 02910 Phone: 401-943-9791 Fax: 401-943-1071 | |
Medicine And Long Term Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Budlong Rd, Cranston, RI 02920 Phone: 401-943-4530 | |
Knightsville Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1681 Cranston St, Suite D, Cranston, RI 02920 Phone: 401-946-8446 Fax: 401-946-8340 | |
Kardous Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1145 Reservoir Ave, Ste 301, Cranston, RI 02920 Phone: 401-946-5001 Fax: 401-946-5101 | |
Leonard A Mannarelli Ii, D.o. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Atwood Ave, Cranston, RI 02920 Phone: 401-944-1748 Fax: 401-944-1746 |