IndividualActive
Richard Prudencio, M.D.
NPI 1598837452 · Rehabilitation Hospital · Cambridge, MA
Provider details
- NPI number
- 1598837452
- Entity type
- Individual
- Primary specialty
- Rehabilitation HospitalHospitals
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 223241 (MA)
Specialties & taxonomies
Hospitals
Practice location
1575 Cambridge St
Cambridge, MA 02138-4308
Phone: (617) 876-4344
Fax: (617) 234-7950
Approximate (ZIP-level) locationGet directions
Mailing address
289 Highland Ave
Somerville, MA 02144-3209
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.