Provider Demographics
NPI:1134139967
Name:SILVEY, VICKIE
Entity Type:Individual
Prefix:MS
First Name:VICKIE
Middle Name:
Last Name:SILVEY
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:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:GOTHA
Mailing Address - State:FL
Mailing Address - Zip Code:34734-0272
Mailing Address - Country:US
Mailing Address - Phone:787-839-3131
Mailing Address - Fax:787-893-3131
Practice Address - Street 1:20 CALLE ALBERTO RICCI
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723-2856
Practice Address - Country:US
Practice Address - Phone:787-839-3131
Practice Address - Fax:787-839-3131
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5848960001Medicare NSC