MEDICARE: MRS. GERALDINE ENID SILVA RD

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	133NN1002X	Nutrition Education Nutritionist	1064	PR
2	133V00000X	Registered Dietitian	842293	IL

General Provider Information

NPI Number	:	1447399530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GERALDINE ENID SILVA RD

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

Provider Business Practice Location Address
First Line	:	1588 AVE JESUS T PINERO
Second Line	:	CAPARRA TERRACE
City	:	SAN JUAN
State	:	PR
Zip	:	00921-1413
Country	:	US
Telephone Number	:	787-781-7561
Fax Number	:

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	09/11/2025

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