Provider Demographics
NPI:1033211305
Name:PEREIRA, CELINA A (MD)
Entity Type:Individual
Prefix:DR
First Name:CELINA
Middle Name:A
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BUTTERFIELD ROAD
Mailing Address - Street 2:URI CAMPUS - POTTER BUILDING
Mailing Address - City:KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02881
Mailing Address - Country:US
Mailing Address - Phone:401-874-2246
Mailing Address - Fax:401-874-2586
Practice Address - Street 1:6 BUTTERFIELD ROAD
Practice Address - Street 2:URI CAMPUS - POTTER BUILDING
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881
Practice Address - Country:US
Practice Address - Phone:401-874-2246
Practice Address - Fax:401-874-2586
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRIMD44672080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine