Provider Demographics
NPI:1073098869
Name:SILDO, LUZVIMINDA
Entity Type:Individual
Prefix:MS
First Name:LUZVIMINDA
Middle Name:
Last Name:SILDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 E WEST HWY APT 501
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3043
Mailing Address - Country:US
Mailing Address - Phone:240-380-5526
Mailing Address - Fax:
Practice Address - Street 1:2001 15TH ST NW APT 604
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5864
Practice Address - Country:US
Practice Address - Phone:202-986-6261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant