MEDICARE: DR. VICTORIA M SILVERA MD

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	2085R0202X	Diagnostic Radiology Physician	219853	MA
2	2085N0700X	Neuroradiology Physician	219853	MA
3	2085R0202X	Diagnostic Radiology Physician	64963	MN

General Provider Information

NPI Number	:	1467539908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA M SILVERA MD

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-5724
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/20/2020

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