Provider Demographics
NPI:1528076023
Name:GARCIA-LAVIN, SILVIA E (DPM)
Entity type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:E
Last Name:GARCIA-LAVIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 HOME PARK TRL
Mailing Address - Street 2:111
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-7779
Mailing Address - Country:US
Mailing Address - Phone:305-546-5694
Mailing Address - Fax:
Practice Address - Street 1:2004 HOME PARK TRL
Practice Address - Street 2:111
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-7779
Practice Address - Country:US
Practice Address - Phone:305-546-5694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2014-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3004213ES0131X
NYN005877213ES0131X
VA103300972213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
U97040Medicare UPIN
NYPJ1481Medicare ID - Type Unspecified
FLU1431Medicare ID - Type Unspecified
VACO2490Medicare PIN