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RICHARD PRUDENCIO M.D. NPI 1598837452


NPI Information

NPI: 1598837452
Provider Name: RICHARD PRUDENCIO, M.D.
Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1575 CAMBRIDGE ST
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 876-4344
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Richard Prudencio, M.D. is a rehabilitation hospital in Cambridge, MA with 22 years of experience. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. Richard Prudencio, M.D. NPI is 1598837452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2002

The provider's business location address is:

1575 CAMBRIDGE ST
CAMBRIDGE, MA
ZIP 02138-308
Phone: (617) 876-4344
Fax: (617) 234-7950

The NPI 1598837452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283X00000XRehabilitation Hospital223241MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.