Provider Demographics
NPI:1427223619
Name:ALVERNIA-SILVA, JORGE EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:EDUARDO
Last Name:ALVERNIA-SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JORGE
Other - Middle Name:EDUARDO
Other - Last Name:ALVERNIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1908 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5724
Mailing Address - Country:US
Mailing Address - Phone:318-509-8808
Mailing Address - Fax:318-509-8769
Practice Address - Street 1:1908 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5724
Practice Address - Country:US
Practice Address - Phone:318-509-8808
Practice Address - Fax:318-509-8769
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-6391207T00000X
LAMD.202880207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery