MEDICARE: DAVID RONALD SILVA DO

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	C032122	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C032122	OTHER	CO	LICENSE

General Provider Information

NPI Number	:	1841399896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID RONALD SILVA DO

Provider Business Mailing Address
First Line	:	361 N COLLEGE DR
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-6894
Country	:	US
Telephone Number	:	970-382-8292
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 RIVERGATE UNIT 204
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-7490
Country	:	US
Telephone Number	:	970-382-8292
Fax Number	:	970-382-0073

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	11/27/2023

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Directions to “ DAVID RONALD SILVA DO” Practice Location

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