Provider Demographics
NPI:1346071222
Name:RODRIGUES RIBEIRO DA SILVA, LUDMILA (MD)
Entity type:Individual
Prefix:
First Name:LUDMILA
Middle Name:
Last Name:RODRIGUES RIBEIRO DA SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LUDMILA
Other - Middle Name:
Other - Last Name:RODRIGUES RIBEIRO DA SILVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7440 HIGHWAY 6 APT 1313
Mailing Address - Street 2:
Mailing Address - City:HITCHCOCK
Mailing Address - State:TX
Mailing Address - Zip Code:77563-3671
Mailing Address - Country:US
Mailing Address - Phone:201-844-2968
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-5302
Practice Address - Country:US
Practice Address - Phone:409-772-8128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100912412086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery