Healthcare Provider Details

I. General information

NPI: 1508379710
Provider Name (Legal Business Name): SILVIA MARIA BORGES BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2017
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 NORWOOD AVE
CRANSTON RI
02905-3923
US

IV. Provider business mailing address

112 MILL ST APT 104
WOONSOCKET RI
02895-2198
US

V. Phone/Fax

Practice location:
  • Phone: 401-921-1470
  • Fax: 401-921-1415
Mailing address:
  • Phone: 401-533-4944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: