Provider Demographics
NPI:1063001790
Name:SILVINA RAJSCHMIR MALTZ DDS PA
Entity type:Organization
Organization Name:SILVINA RAJSCHMIR MALTZ DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT -OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVINA
Authorized Official - Middle Name:JULIA
Authorized Official - Last Name:RAJSCHMIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-503-9897
Mailing Address - Street 1:18021 BISCAYNE BLVD APT 1701
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2518
Mailing Address - Country:US
Mailing Address - Phone:786-503-9897
Mailing Address - Fax:
Practice Address - Street 1:12955 BISCAYNE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2021
Practice Address - Country:US
Practice Address - Phone:786-503-9897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018697400Medicaid