Richard Prudencio, MD
Rehabilitation Hospital in Cambridge, Massachusetts
1598837452- Practice location
- 1575 Cambridge St, Cambridge, MA 02138-4308
- Phone
- 617-876-4344
- Fax
- 617-234-7950
- Last updated
- November 30, 2021
Richard Prudencio is a Rehabilitation Hospital based in Cambridge, MA. Richard Prudencio practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Richard Prudencio is 1598837452 and holds a License No. 223241 (MA). The current practice location address for Richard Prudencio is 1575 Cambridge St, Cambridge, MA 02138-4308 and can be reached out via phone at 617-876-4344 and via fax at 617-234-7950.
Provider Profile Details
- NPI Number
- 1598837452
- Provider Name
- Richard Prudencio
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1575 Cambridge St, Cambridge, MA 02138-4308
- Phone Number
- 617-876-4344
- Fax Number
- 617-234-7950
- Primary Taxonomy
- Rehabilitation Hospital · 283X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 15, 2006
- Last Update Date
- November 30, 2021
- Certification Date
- November 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1575 Cambridge St
Cambridge, MA 02138-4308 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138-4308
- Phone Number
- 617-876-4344
- Fax Number
- 617-234-7950
Provider Business Mailing Address Details
- Address
- 289 Highland Ave
108
Somerville, MA 02144-3209 - City
- Somerville
- State
- MA
- Zip
- 02144-3209
- Phone Number
- 617-876-4344
- Fax Number
- 617-234-7950
License Information
- License Number
- 223241
- License State
- MA
- Taxonomy
- Rehabilitation Hospital · 283X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Richard Prudencio, MD?
The NPI number of Richard Prudencio, MD is 1598837452. It was assigned on November 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Richard Prudencio, MD?
Richard Prudencio, MD is registered under the primary taxonomy Rehabilitation Hospital (code 283X00000X), licensed in MA under license number 223241.
Where does Richard Prudencio, MD practice?
The practice location is 1575 Cambridge St, Cambridge, MA 02138-4308. The office can be reached at 617-876-4344 (phone) or 617-234-7950 (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 1598837452 directly on the NPPES registry website.