Provider Demographics
NPI:1306731880
Name:ROMERO SILVA, JOSE DAVID
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:DAVID
Last Name:ROMERO SILVA
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 1:3425 LOVE CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3221
Mailing Address - Country:US
Mailing Address - Phone:931-743-7407
Mailing Address - Fax:
Practice Address - Street 1:3425 LOVE CIR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3221
Practice Address - Country:US
Practice Address - Phone:931-743-7407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service