Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Adderly Marcell Toribio de Jesus, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689235723

Dr. Adderly Marcell Toribio de Jesus, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island and Texas. Registered with an NPI since 2019.

Licensed in
RI, TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence BP10090517 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence LP04762 (RI)

Record details

NPI number1689235723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

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