Healthcare Provider Details
I. General information
NPI: 1659319093
Provider Name (Legal Business Name): SILVINA SALVO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2006
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9149 ESTATE THOMAS PARAGON MEDICAL BD SUITE 103
ST THOMAS VI
00802-2615
US
IV. Provider business mailing address
6513 TENNIS VLG APT 11
ST THOMAS VI
00802-3238
US
V. Phone/Fax
- Phone: 340-643-0931
- Fax:
- Phone: 340-643-0931
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 1344 |
| License Number State | VI |
VIII. Authorized Official
Name: DR.
SILVINA
SALVO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 340-643-0931