Individual provider · Type 1 NPI

Pedro Paulo Alves Generoso, MD

Student in an Organized Health Care Education/Training Program · Providence, RI

NPI number 1093956153 Active

Practice location

825 Chalkstone Ave
Providence, RI 02908-4728

Mailing address

268 Fruit Hill Ave Apt 12
North Providence, RI 02911-2833

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093956153

Pedro Paulo Alves Generoso, MD's National Provider Identifier is 1093956153, issued on Mar 18, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Providence, RI. The record was last updated on Mar 18, 2009.