| Robert A. Carrellas, M.d, P.c. | |
|
674 Aquidneck Ave Building A, Unit 1 Middletown RI 02842-5692 | |
| (401) 847-9955 | |
| (401) 847-9948 |
| Full Name | Robert A. Carrellas, M.d, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 674 Aquidneck Ave, Middletown, Rhode Island |
| Authorized Official Name and Position | Robert A Carrellas (PRESIDENT) |
| Authorized Official Contact | 4018479955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Carrellas, M.d, P.c. 674 Aquidneck Ave Building A, Unit 1 Middletown RI 02842-5692 Ph: (401) 847-9955 | Robert A. Carrellas, M.d, P.c. 674 Aquidneck Ave Building A, Unit 1 Middletown RI 02842-5692 Ph: (401) 847-9955 |
| NPI Number | 1619079852 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/20/2009 |
| Medicare PECOS PAC ID | 2163576406 |
|---|---|
| Medicare Enrollment ID | O20090820000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619079852 | NPI | - | NPPES |
| 7002857 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8200 (Rhode Island) | Primary |
| Provider Name | Robert Carrellas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417138850 PECOS PAC ID: 6507910841 Enrollment ID: I20090820000407 |
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