Teresa Lorena Jeraldo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD 08939 Issued in RI

Practice address

967 Mineral Spring Ave
North Providence, RI 02904-4934

Phone

(401) 312-0444

Fax

(401) 312-0446

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santiago Medical Group, Inc.

  • Pediatric Adolescent Medicine Physician
  • North Providence, RI
  • NPI 1790830339
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1285725622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044934",
            "telephone_number": "401-312-0444",
            "fax_number": "401-312-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044934",
            "telephone_number": "401-312-0444",
            "fax_number": "401-312-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERALDO",
        "first_name": "TERESA",
        "middle_name": "LORENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD 08939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1688",
            "identifier": "NEIGHBORHOOD HEALTH",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "406145",
            "identifier": "TUFTS",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "23120-6",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS47209",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12-02780",
            "identifier": "UNITED HEALTH CARE",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "400266",
            "identifier": "BLUE CHIP",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrity Sleep Care, LLC
• Internal Medicine Endocrinology Assoc, Inc
• Internal Medicine Partners, Inc
• Isd Renal Inc
• Jason Roger Izzi, D.M.D.
• Joseph a. Izzi M.D., Inc.
• Glenda Kaija
• Jillian Karno
• Marissa Nicole Keighley
• Kindred Care LLC

• Pediatrics Physician in North Providence, RI
• Providers in North Providence, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.