Active NPIIndividual provider

Dr. Carolina Cerezo, MD

Pediatrics, Pediatric Gastroenterology in Providence, Rhode Island

NPI Number1073596011
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-8748
Last updated
May 18, 2026

Carolina Cerezo is a Pediatrics, Pediatric Gastroenterology based in Providence, RI. Carolina Cerezo practices in Providence, RI and has the professional credentials of MD. The NPI Number for Carolina Cerezo is 1073596011 and holds a License No. MD11132 (RI). The current practice location address for Carolina Cerezo is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-2827 and via fax at 401-444-8748.

Provider Profile Details

NPI Number
1073596011
Provider Name
Carolina Cerezo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-2827
Fax Number
401-444-8748
Primary Taxonomy
Pediatrics, Pediatric Gastroenterology · 2080P0206X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2005
Last Update Date
May 18, 2026
Certification Date
May 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-2827
Fax Number
401-444-8748
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
593 Eddy St
Division Of Pediatric Gastroenterology & Nutrition Mps
Providence, RI 02903-4923
City
Providence
State
RI
Zip
02903-4923
Phone Number
401-444-2827
Fax Number
401-444-8748

License Information

License Number (1)
MD11132
License State (1)
RI
Taxonomy (1)
Pediatrics, Pediatric Gastroenterology · 2080P0206X · Primary
License Number (2)
236679
License State (2)
MA
Taxonomy (2)
Pediatrics, Pediatric Gastroenterology · 2080P0206X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Carolina Cerezo, MD?

The NPI number of Dr. Carolina Cerezo, MD is 1073596011. It was assigned on November 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Carolina Cerezo, MD?

Dr. Carolina Cerezo, MD is registered under the primary taxonomy Pediatrics, Pediatric Gastroenterology (code 2080P0206X), licensed in RI under license number MD11132.

Where does Dr. Carolina Cerezo, MD practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-2827 (phone) or 401-444-8748 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073596011 directly on the NPPES registry website.

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