MEDICARE: MRS. RAQUEL PEREIRA SILVA DPT

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	225100000X	Physical Therapist	18836	MA
2	225100000X	Physical Therapist	PT27867	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417270224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RAQUEL PEREIRA SILVA DPT

Provider Business Mailing Address
First Line	:	6025 NIGHT HERON CT
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33415-1529
Country	:	US
Telephone Number	:	617-460-7680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 N CONGRESS AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-5144
Country	:	US
Telephone Number	:	561-684-9200
Fax Number	:	561-684-9202

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

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	02/15/2024

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