Provider Demographics
NPI:1750328290
Name:DEL RIO-CADORETTE, MARIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIEL
Middle Name:
Last Name:DEL RIO-CADORETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 MILL RD STE 180
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-1730
Mailing Address - Fax:508-973-0379
Practice Address - Street 1:1030 PRESIDENT AVE RM 221
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5923
Practice Address - Country:US
Practice Address - Phone:508-973-1730
Practice Address - Fax:508-973-0379
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA224784207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA005181OtherSENIOR WHOLE HEALTH
MAJ40049OtherBCBSMA
RI0070106691OtherMEDICARE PTAN
MA2117495Medicaid
MA000000033643OtherBMC HEALTHNET
MA495047OtherTUFTS HEALTH PLAN
MA7345464OtherAETNA
MA96407801OtherNETWORK HEALTH
MAAA60511OtherHARVARD PILGRIM
RIAA208434OtherHARVARD PILGRIM HEALTH CARE OF NE
MA3379300OtherCIGNA
MA410952OtherBCBSRI BLUE CHIP
MA042675800OtherUNITED HEALTH PLAN
MA0037951OtherNEIGHBORHOOD HEALTH
MA31310-2OtherBCBSRI
MA005181OtherSENIOR WHOLE HEALTH
MAAA60511OtherHARVARD PILGRIM