Provider Demographics
NPI:1891482659
Name:SANTANA-SILVERIO, ANAIZ
Entity type:Individual
Prefix:
First Name:ANAIZ
Middle Name:
Last Name:SANTANA-SILVERIO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N47 CALLE 12
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-2456
Mailing Address - Country:US
Mailing Address - Phone:787-519-2642
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 195248
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-5248
Practice Address - Country:US
Practice Address - Phone:787-665-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1643363AM0700X
PR24235208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical