Healthcare Provider Details

I. General information

NPI: 1265754766
Provider Name (Legal Business Name): SILRO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2010
Last Update Date: 02/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 AVE FD ROOSEVELT SUITE 401, LA TORRE DE PLAZA
SAN JUAN PR
00918-8001
US

IV. Provider business mailing address

CORREO ESMERALDA 53 PMB 114
GUAYNABO PUERTO RICO
00969
UM

V. Phone/Fax

Practice location:
  • Phone: 787-754-0715
  • Fax: 787-282-0472
Mailing address:
  • Phone:
  • Fax: 787-282-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number4211
License Number StatePR

VIII. Authorized Official

Name: DR. FRIEDA SILVA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-754-0715