Provider Demographics
NPI:1326418708
Name:SILVA, FRANCISCO
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:SILVA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1522 1ST ST
Mailing Address - Street 2:APT X-105
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1546
Mailing Address - Country:US
Mailing Address - Phone:818-319-2122
Mailing Address - Fax:
Practice Address - Street 1:1522 1ST ST
Practice Address - Street 2:APT X-105
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-1546
Practice Address - Country:US
Practice Address - Phone:818-319-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman