Ernesto Mirabal, M.D., LLC

Key facts

NPI: 1720502008
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
License: MD11356 (RI)
Legal business name: ERNESTO MIRABAL, M.D., LLC
Practice address: 1002 Broad St Ste 1
Central Falls, RI 02863-1510
Phone: (401) 244-5550
NPI assigned: Jul 28, 2017
Organization subpart: No

Authorized official

Name: Dr. Ernesto Antonio Mirabal, MD
Title: MD
Phone: (401) 226-8716

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Ernesto A Mirabal, MD Internal Medicine Physician · Central Falls, RI · NPI 1215953377

Medicare reassignment RI

Medicare participation

Medicare fee-for-service enrollment: Enrolled in RI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20171127000315	RI	Part B Supplier - Clinic/Group Practice	9032476239	Receives reassigned benefits from 1 practitioner Practice locations: Central Falls, RI

National Provider Directory

Locations

1002 Broad St
Ste 3
Central Falls, RI 02863
Phone (401) 722-4089

1002 Broad St
Ste 1
Central Falls, RI 02863
Phone (401) 226-8716

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/24862/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X	MD11356	RI	Yes

Addresses

Primary practice location

1002 Broad St Ste 1
Central Falls, RI 02863-1510

Mailing address

1002 Broad St Ste 1
Central Falls, RI 02863-1510
Phone (401) 226-8716

Other providers in Central Falls, RI

Brianne Defaria, B.A.
Brayan Delacruz
Nicole Donis
Megan Droste, BA
Paula Drzal, RN
Claire Estacuy
Faithworks Health and Wellness Institute
Joseph Favali, MASTERS
Amanda Ferri
Melanie Fletcher, OTR/L

All providers in Central Falls, RI · Internal Medicine Physician in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.