Active NPI
Peris Medical Corporation
- Internal Medicine Physician
- Providence, RI
National Provider Identifier
1295952802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD10391
- Legal business name
- PERIS MEDICAL CORPORATION
- Practice address
- 655 Broad Street
Suite 201
Providence, RI 02907-1510 - Phone
- (401) 383-6748
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emilio Rodriguez-Peris, M.D.
- Title
- Propietor
- Phone
- (401) 226-6248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10391 | RI | Primary |
Addresses
Primary practice location
655 Broad Street
Suite 201
Providence, RI 02907-1510
Mailing address
655 Broad Street
Suite 201
Providence, RI 02907-1510
Phone (401) 383-6748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ER48067 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
21 Peace St
Fl 5
Providence, RI 02907
Phone (401) 383-6748
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Hialeah, FL
- NPI 1114108669
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301616000000",
"number": "1295952802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 BROAD STREET",
"address_2": "SUITE 201",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071510",
"telephone_number": "401-383-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 BROAD STREET",
"address_2": "SUITE 201",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071510",
"telephone_number": "401-383-6748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERIS MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2011-04-01",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ-PERIS",
"authorized_official_first_name": "EMILIO",
"authorized_official_title_or_position": "PROPIETOR",
"authorized_official_telephone_number": "401-226-6248",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD10391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ER48067",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.