Healthcare Provider Details

I. General information

NPI: 1427707918
Provider Name (Legal Business Name): RAYCE ALEXANDER SILVA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

3217 43RD ST
METAIRIE LA
70001-2811
US

V. Phone/Fax

Practice location:
  • Phone: 504-235-9698
  • Fax:
Mailing address:
  • Phone: 504-235-9698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number351806
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: