Organization Active NPI

Centro de Innovacion Mujer Latina

  • Community Health Worker
  • Providence, RI
National Provider Identifier
1992685358
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
CENTRO DE INNOVACION MUJER LATINA
Practice address
640 Broad St
Providence, RI 02907-1463
Phone
(401) 390-6816
NPI assigned
Sep 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Evylegna Marie Rodriguez
Title
Directora Ejecutiva
Phone
(401) 390-6816

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

640 Broad St
Providence, RI 02907-1463

Mailing address

2597 Hartford Ave
Johnston, RI 02919-1620
Phone (401) 390-6816

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1992685358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029191620",
            "telephone_number": "401-390-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071463",
            "telephone_number": "401-390-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE INNOVACION MUJER LATINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EVYLEGNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "401-390-6816"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 23, 2025; 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.