Healthcare Provider Details

I. General information

NPI: 1609787860
Provider Name (Legal Business Name): IVETTE SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 25247
SAN JUAN PR
00928-5247
US

IV. Provider business mailing address

294 CALLE TOLOSA
SAN JUAN PR
00921-4311
US

V. Phone/Fax

Practice location:
  • Phone: 787-751-6646
  • Fax:
Mailing address:
  • Phone: 787-396-8949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2627
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: