Provider Demographics
NPI:1871577999
Name:RINTELS, PETER B (MD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:B
Last Name:RINTELS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1220 PONTIAC AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4456
Mailing Address - Country:US
Mailing Address - Phone:401-943-4660
Mailing Address - Fax:401-943-0240
Practice Address - Street 1:1220 PONTIAC AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4456
Practice Address - Country:US
Practice Address - Phone:401-943-4660
Practice Address - Fax:401-943-0240
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2013-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI07910207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI201815OtherBLUECHIP
720083801OtherCIGNA
PR0000002589OtherBC&BS OF RI
007910OtherTUFTS HP
PR27489OtherNEIGHBORHOOD HP
9264RIHOtherHARVARD PILGIRIM HP
RI30-00357OtherUHC OF NE, INC
RI7009067Medicaid
2946578OtherAETNA
RI201815OtherBLUECHIP
9264RIHOtherHARVARD PILGIRIM HP
E45511Medicare UPIN
RI7009067Medicaid