Healthcare Provider Details

I. General information

NPI: 1265350227
Provider Name (Legal Business Name): ROSARIO VALERIO SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 GREEN MEADOW DR APT B
WATSONVILLE CA
95076-5942
US

IV. Provider business mailing address

220 GREEN MEADOW DR APT B
WATSONVILLE CA
95076-5942
US

V. Phone/Fax

Practice location:
  • Phone: 831-498-7440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number100956
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: