Healthcare Provider Details

I. General information

NPI: 1437675600
Provider Name (Legal Business Name): ELVIRA ANGELICA SILVA DE VERA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 08/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 SW 88TH ST
MIAMI FL
33186-1515
US

IV. Provider business mailing address

1805 SW 101ST AVE
MIAMI FL
33165-7448
US

V. Phone/Fax

Practice location:
  • Phone: 305-387-0081
  • Fax:
Mailing address:
  • Phone: 305-979-2965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9302063
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: