Provider Demographics
NPI:1144459314
Name:FABRE, MARIA VALERIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:VALERIA
Last Name:FABRE
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 1:174 ARMISTICE BLVD
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3280
Mailing Address - Country:US
Mailing Address - Phone:401-729-2500
Mailing Address - Fax:401-729-2077
Practice Address - Street 1:174 ARMISTICE BLVD
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3280
Practice Address - Country:US
Practice Address - Phone:401-729-2500
Practice Address - Fax:401-729-2077
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD14506207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease