Active NPIIndividual provider

Larissa Kruger Gomes, MD

Internal Medicine, Nephrology in East Providence, Rhode Island

NPI Number1275914509
Practice location
314 Taunton Ave, East Providence, RI 02914-2641
Fax
401-435-2561
Last updated
May 4, 2021

Larissa Kruger Gomes is an Internal Medicine, Nephrology based in East Providence, RI. Larissa Kruger Gomes practices in East Providence, RI and has the professional credentials of MD. The NPI Number for Larissa Kruger Gomes is 1275914509 and holds a License No. MD17549 (RI). The current practice location address for Larissa Kruger Gomes is 314 Taunton Ave, East Providence, RI 02914-2641 and can be reached out via phone at 401-438-5950 and via fax at 401-435-2561.

Provider Profile Details

NPI Number
1275914509
Provider Name
Larissa Kruger Gomes
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
314 Taunton Ave, East Providence, RI 02914-2641
Phone Number
401-438-5950
Fax Number
401-435-2561
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2015
Last Update Date
May 4, 2021
Certification Date
May 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
314 Taunton Ave
East Providence, RI 02914-2641
Zip
02914-2641
Phone Number
401-438-5950
Fax Number
401-435-2561
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
318 Waterman Ave
East Providence, RI 02914-3525
City
East Providence
State
RI
Zip
02914-3525
Phone Number
401-438-5950
Fax Number
401-435-2561

License Information

License Number (1)
MD17549
License State (1)
RI
Taxonomy (1)
Internal Medicine, Nephrology · 207RN0300X · Primary
License Number (2)
MD17549
License State (2)
RI
Taxonomy (2)
Internal Medicine · 207R00000X

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 Larissa Kruger Gomes, MD?

The NPI number of Larissa Kruger Gomes, MD is 1275914509. It was assigned on June 11, 2015 and is currently active in the NPPES registry.

What is the specialty of Larissa Kruger Gomes, MD?

Larissa Kruger Gomes, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in RI under license number MD17549.

Where does Larissa Kruger Gomes, MD practice?

The practice location is 314 Taunton Ave, East Providence, RI 02914-2641. The office can be reached at 401-438-5950 (phone) or 401-435-2561 (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 1275914509 directly on the NPPES registry website.

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