Provider Demographics
NPI:1164396792
Name:HEREDIA DE LOS SANTOS, FRANCISCO ARGELIS
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:ARGELIS
Last Name:HEREDIA DE LOS SANTOS
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 1:83 ROUNDS AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-3572
Mailing Address - Country:US
Mailing Address - Phone:401-499-3778
Mailing Address - Fax:
Practice Address - Street 1:10 TRIPPS LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-3014
Practice Address - Country:US
Practice Address - Phone:401-499-3778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI3297970343800000X, 347C00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle