MEDICARE: DR. TANYA S. SILVA RIVERA 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	208D00000X	General Practice Physician	16941	PR

General Provider Information

NPI Number	:	1245411982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANYA S. SILVA RIVERA M.D.

Provider Business Mailing Address
First Line	:	SABANERA DE DORADO
Second Line	:	CAMINO DEL MERLIN # 29
City	:	DORADO
State	:	PR
Zip	:	00646-0000
Country	:	US
Telephone Number	:	787-626-5444
Fax Number	:

Provider Business Practice Location Address
First Line	:	SABANERA DE DORADO
Second Line	:	CAMINO DEL MERLIN #29
City	:	DORADO
State	:	PR
Zip	:	00646-0000
Country	:	US
Telephone Number	:	787-626-5444
Fax Number	:

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

Provider Enumeration Date	:	11/23/2007
Last Update Date	:	08/28/2009

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