Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mimi Rosealie Borrelli

Individual provider Plastic Surgery Physician · NPI 1649894924

Mimi Rosealie Borrelli is a Plastic Surgery Physician in Providence, Rhode Island. Practices as a sole proprietor and works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2020

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (650) 283-8746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Holden St Unit 2201, Providence, RI 02908-5792 — (650) 283-8746

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence LP05003 (RI)

Record details

NPI number1649894924
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2020
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020

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