Provider Demographics
NPI:1083894299
Name:MIGUEL R. SILVA, M.D., P.C.
Entity type:Organization
Organization Name:MIGUEL R. SILVA, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-881-7800
Mailing Address - Street 1:1554 ASTOR AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-6424
Mailing Address - Country:US
Mailing Address - Phone:718-881-7800
Mailing Address - Fax:718-881-8500
Practice Address - Street 1:1554 ASTOR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-6424
Practice Address - Country:US
Practice Address - Phone:718-881-7800
Practice Address - Fax:718-881-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMS0WFW7210Medicare PIN