Individual provider · Type 1 NPI

Blaze Ann Cepillo Carbonell, MD

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

NPI number 1477480879 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 793-2695 Map

Fax (401) 444-4165

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XLP06846 (RI)

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 1477480879

Blaze Ann Cepillo Carbonell, MD's National Provider Identifier is 1477480879, issued on May 7, 2026. 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 May 7, 2026.