Provider Demographics
NPI:1497423057
Name:SAVINON, MOISES ANTONIO
Entity Type:Individual
Prefix:
First Name:MOISES
Middle Name:ANTONIO
Last Name:SAVINON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1474
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02862-1474
Mailing Address - Country:US
Mailing Address - Phone:401-427-7773
Mailing Address - Fax:
Practice Address - Street 1:83 PRISCILLA AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-3023
Practice Address - Country:US
Practice Address - Phone:401-427-7773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty