Healthcare Provider Details

I. General information

NPI: 1982916433
Provider Name (Legal Business Name): MARIA DEL PILAR SILVA CHUECOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 TECHNOLOGY DR UNIT C301
TRUMBULL CT
06611-6368
US

IV. Provider business mailing address

115 TECHNOLOGY DR UNIT C301
TRUMBULL CT
06611-6368
US

V. Phone/Fax

Practice location:
  • Phone: 203-268-4884
  • Fax:
Mailing address:
  • Phone: 203-268-4884
  • Fax: 203-268-8674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number14939
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number056381
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: