Provider Demographics
NPI:1417270224
Name:SILVA, RAQUEL PEREIRA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:PEREIRA
Last Name:SILVA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:RAQUEL
Other - Middle Name:PEREIRA
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6025 NIGHT HERON CT
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33415-1529
Mailing Address - Country:US
Mailing Address - Phone:617-460-7680
Mailing Address - Fax:
Practice Address - Street 1:1025 N CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5144
Practice Address - Country:US
Practice Address - Phone:561-684-9200
Practice Address - Fax:561-684-9202
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18836225100000X
FLPT27867225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist