Healthcare Provider Details

I. General information

NPI: 1447399530
Provider Name (Legal Business Name): GERALDINE ENID SILVA RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1588 AVE JESUS T PINERO CAPARRA TERRACE
SAN JUAN PR
00921-1413
US

IV. Provider business mailing address

AT6 CALLE RIO OROCOVIS VALLE VERDE I
BAYAMON PR
00961-3255
US

V. Phone/Fax

Practice location:
  • Phone: 787-781-7561
  • Fax:
Mailing address:
  • Phone: 787-795-0837
  • Fax: 787-795-0837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number1064
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number842293
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: