Healthcare Provider Details

I. General information

NPI: 1518130178
Provider Name (Legal Business Name): FERNANDO LINARES SILVESTRINI CRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2008
Last Update Date: 04/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EL CEREZAL 1676 INDO STREET
SAN JUAN PR
00926
US

IV. Provider business mailing address

EL CEREZAL 1676 INDO STREET
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-613-9515
  • Fax:
Mailing address:
  • Phone: 787-613-9515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number001144
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: