MEDICARE: DR. SAMUEL D. SILVA M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	12158	PR
2	207VX0000X	Obstetrics Physician	12158	PR

General Provider Information

NPI Number	:	1245225523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL D. SILVA M.D

Provider Business Mailing Address
First Line	:	243 CALLE PARIS
Second Line	:	SUITE 1834
City	:	SAN JUAN
State	:	PR
Zip	:	00917-3632
Country	:	US
Telephone Number	:	787-753-2015
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE AMERICA 151
Second Line	:	FLORAL PARK, HATO REY
City	:	SAN JUAN
State	:	PR
Zip	:	00917
Country	:	US
Telephone Number	:	787-753-2015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	09/07/2012

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