DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD PRUDENCIO, M.D.

Active Sole Proprietor

RICHARD PRUDENCIO, M.D. is a Rehabilitation Hospital healthcare provider located in CAMBRIDGE, Massachusetts. NPI 1598837452 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Hospital · CAMBRIDGE, MA

Registration Details

NPI Number
1598837452
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2006 (19.781452678905 yrs)
Last Updated
Nov 30, 2021
License
223241 (MA)
Sole Proprietor
Yes

Practice Information

Address
1575 CAMBRIDGE ST
CAMBRIDGE, MA, 021384308
Browse MA providers · Browse ZIP 02138
Phone
6178764344
Fax
6172347950
Primary Specialty
Rehabilitation Hospital
283X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.