MEDICARE: SILKYALIS SIERRA B.S.

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	225X00000X	Occupational Therapist	1067	PR

General Provider Information

NPI Number	:	1043694813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILKYALIS SIERRA B.S.

Provider Business Mailing Address
First Line	:	TURABO CLUSTERS
Second Line	:	AG-301 #55
City	:	CAGUAS
State	:	PUERTO RICO
Zip	:	00727
Country	:	UM
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	TURABO CLUSTERS
Second Line	:	AG-301 #55
City	:	CAGUAS
State	:	PUERTO RICO
Zip	:	00727
Country	:	UM
Telephone Number	:
Fax Number	:

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

Provider Enumeration Date	:	07/11/2015
Last Update Date	:	06/14/2026

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