Provider Demographics
NPI:1194693747
Name:BARELA, SILVERIO DANIEL
Entity type:Individual
Prefix:
First Name:SILVERIO
Middle Name:DANIEL
Last Name:BARELA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SILVER LN
Mailing Address - Street 2:
Mailing Address - City:ESTANCIA
Mailing Address - State:NM
Mailing Address - Zip Code:87016-6743
Mailing Address - Country:US
Mailing Address - Phone:505-414-1381
Mailing Address - Fax:505-414-1381
Practice Address - Street 1:510 KINLEY AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1516
Practice Address - Country:US
Practice Address - Phone:505-225-2177
Practice Address - Fax:505-225-2177
Is Sole Proprietor?:No
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM00023951146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic