OrganizationActive
Wampanoag Medical Clinic & Treatment Center
NPI 1720011018 · Urgent Care Clinic/Center · East Providence, RI
Provider details
- NPI number
- 1720011018
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Juanito Abanilla, President(401) 438-6620
- License
- MD4452 (RI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1970 Pawtucket Ave
East Providence, RI 02914-1718
Phone: (401) 438-6620
Fax: (401) 438-6621
Approximate (ZIP-level) locationGet directions
Mailing address
1970 Pawtucket Ave
East Providence, RI 02914-1718
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.