1447399530 NPI number — MRS. GERALDINE ENID SILVA RD

Table of content: MRS. GERALDINE ENID SILVA RD (NPI 1447399530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447399530 NPI number — MRS. GERALDINE ENID SILVA RD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVA
Provider First Name:
GERALDINE
Provider Middle Name:
ENID
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447399530
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AT6 CALLE RIO OROCOVIS
Provider Second Line Business Mailing Address:
VALLE VERDE I
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00961-3255
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-795-0837
Provider Business Mailing Address Fax Number:
787-795-0837

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1588 AVE JESUS T PINERO
Provider Second Line Business Practice Location Address:
CAPARRA TERRACE
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921-1413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-781-7561
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/05/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133NN1002X , with the licence number:  1064 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 133V00000X , with the licence number: 842293 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)