Provider Demographics
NPI:1437169125
Name:SILVA, LUIS YSMAEL (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:YSMAEL
Last Name:SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E RAMSEY RD STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4666
Mailing Address - Country:US
Mailing Address - Phone:210-462-1060
Mailing Address - Fax:210-855-3239
Practice Address - Street 1:404 E RAMSEY RD STE 204
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4666
Practice Address - Country:US
Practice Address - Phone:210-462-1060
Practice Address - Fax:210-855-3239
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4543207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine