DR. JORGE MAIDA LUQUETTA (NPI# 1902059785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902059785 |
| Entity Type | Individual |
| Full Name | DR. JORGE MAIDA LUQUETTA |
| Credential | MD |
| Practice Address |
375 Allens Ave Providence RI 02905-5010 |
| Mailing Address |
12515 Sw 88th St Miami FL 33186-1829 |
| Practice Telephone | 4014440400 |
| Practice Fax Number | 4014440468 |
| Mailing Telephone | 3056425366 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD13582 | RI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
375 ALLENS AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313593 | The Providence Community Health Centers, Inc | Clinic/Center | 375 Allens Ave, Providence, RI 02905-5010 | 2005-08-15 |
| 1720686942 | Renee Morais | Student in an Organized Health Care Education/Training Program | 375 Allens Ave, Providence, RI 02905-5010 | 2020-10-09 |
| 1427343128 | Heidi N Kurrus | Nurse Practitioner | 375 Allens Ave, Providence, RI 02905-5010 | 2011-06-10 |
| 1326246604 | Melinda J Hooton | Internal Medicine | 375 Allens Ave, Providence, RI 02905-5010 | 2007-07-06 |
| 1770788218 | Anne Lawrence Murray | Obstetrics & Gynecology | 375 Allens Ave, Providence, RI 02905-5010 | 2007-06-15 |
| 1841358587 | Ivan Stuart Wolfson | Family Medicine | 375 Allens Ave, Providence, RI 02905-5010 | 2006-12-05 |
| 1043240864 | Mario Italo Martinez | Pediatrics | 375 Allens Ave, Providence, RI 02905-5010 | 2006-07-04 |
| 1235186107 | Debra M Stimson | Obstetrics & Gynecology | 375 Allens Ave, Providence, RI 02905-5010 | 2006-05-27 |
| 1528016334 | Suzanne Bornschein | Internal Medicine | 375 Allens Ave, Providence, RI 02905-5010 | 2006-05-04 |
| 1891775128 | The Providence Community Health Centers, Inc. | Community/Behavioral Health | 375 Allens Ave, Providence, RI 02905-5010 | 2006-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254876 | Jean Ernst Noel | Family Medicine | 22 Parsonage St # 194, Providence, RI 02903-4758 | 2019-09-12 |
| 1619526217 | Jean Simon Joel Edouard | Family Medicine | 22 Parsonage St # 184, Providence, RI 02903-4758 | 2019-09-05 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1114115664 | Jeremy Broadhurst | Family Medicine | 190 S Highway 165, Providence, UT 84332-9512 | 2007-10-10 |
| 1053443911 | Chad Brown Health Center | Family Medicine | 285a Chad Brown St, Providence, RI 02908-3102 | 2007-03-09 |
| 1679608582 | Peachtree Family Medicine PC | Family Medicine | 169 N Gateway Dr, 170, Providence, UT 84332-9855 | 2007-02-22 |
| 1679647432 | Marsha Maxine Miller | Family Medicine | Brown University Health Services, Brown University, 13 Brown Street, Providence, RI 02912-0001 | 2006-11-20 |
| 1881781920 | Arthur A Frazzano | Family Medicine | 97 Waterman St, Providence, RI 02912-9079 | 2006-10-09 |
| 1871609842 | Wayne C Cole | Family Medicine | 121 East Main St, Providence, KY 42450 | 2006-08-22 |
| 1629181268 | David J Coia | Family Medicine | 235 Plain St Ste 103, Providence, RI 02905-3242 | 2006-08-17 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.