Provider Demographics
NPI:1528121522
Name:SILVESTRY, WILLIAM GERARDO (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GERARDO
Last Name:SILVESTRY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27B CALLE BETANCES
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-4023
Mailing Address - Country:US
Mailing Address - Phone:787-851-3671
Mailing Address - Fax:787-851-3671
Practice Address - Street 1:27B CALLE BETANCES
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4023
Practice Address - Country:US
Practice Address - Phone:787-851-3671
Practice Address - Fax:787-851-3671
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice