Provider Demographics
NPI:1467672659
Name:SILVA, GINETTE MARIA (RPH)
Entity Type:Individual
Prefix:
First Name:GINETTE
Middle Name:MARIA
Last Name:SILVA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CARR.838 APT. 3
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-0838
Mailing Address - Country:US
Mailing Address - Phone:787-435-0300
Mailing Address - Fax:
Practice Address - Street 1:17 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718-2239
Practice Address - Country:US
Practice Address - Phone:787-874-3122
Practice Address - Fax:787-874-6819
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist