Healthcare Provider Details

I. General information

NPI: 1831208586
Provider Name (Legal Business Name): SILFREDO SILVESTRINI D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/12/2024
Certification Date: 03/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA OASIS 909 CARR. 153 SUITE 1
SANTA ISABEL PR
00757
US

IV. Provider business mailing address

PO BOX 8028
BAYAMON PR
00960-8028
US

V. Phone/Fax

Practice location:
  • Phone: 939-588-0398
  • Fax:
Mailing address:
  • Phone: 813-753-6382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number093
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberMD2500
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number093
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: