Provider Demographics
NPI:1447399530
Name:SILVA, GERALDINE ENID (RD)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:ENID
Last Name:SILVA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AT6 CALLE RIO OROCOVIS
Mailing Address - Street 2:VALLE VERDE I
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3255
Mailing Address - Country:US
Mailing Address - Phone:787-795-0837
Mailing Address - Fax:787-795-0837
Practice Address - Street 1:1588 AVE JESUS T PINERO
Practice Address - Street 2:CAPARRA TERRACE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1413
Practice Address - Country:US
Practice Address - Phone:787-781-7561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1064133NN1002X
IL842293133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered