MEDICARE: DIANA SILVA CANTILLO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	AZ57739	AZ
2	207R00000X	Internal Medicine Physician	LP03123	RI

General Provider Information

NPI Number	:	1003223686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA SILVA CANTILLO M.D.

Provider Business Mailing Address
First Line	:	2001 W ORANGE GROVE RD STE 404
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1141
Country	:	US
Telephone Number	:	520-989-0226
Fax Number	:	520-989-3798

Provider Business Practice Location Address
First Line	:	2001 W ORANGE GROVE RD STE 404
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1141
Country	:	US
Telephone Number	:	520-989-0226
Fax Number	:	520-989-3798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	02/13/2026

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