Rhode Island Integrated Medicine Inc

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

NPP32472 Issued in RI

Legal business name

RHODE ISLAND INTEGRATED MEDICINE INC

Practice address

521 Park Ave
Cranston, RI 02910-2346

Phone

(401) 781-3374

Fax

(401) 781-3376

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victor M Pedro, DC

Title

Director

Phone

(401) 781-3374

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RI Integrated Medicine Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1396766069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102346",
            "telephone_number": "401-781-3374",
            "fax_number": "401-781-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102346",
            "telephone_number": "401-781-3374",
            "fax_number": "401-781-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND INTEGRATED MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "PEDRO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-781-3374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "RI",
            "license": "NPP32472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "NPP32472",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RI Integrated Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Registered Nurse in Cranston, RI
• Providers in Cranston, RI by specialty
• Pediatric Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.