Provider Demographics
NPI:1477533941
Name:CABRAL SILVERO, HEATHER (DO)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:CABRAL SILVERO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SPRINGS RD
Mailing Address - Street 2:VA NEW ENGLAND HEALTHCARE SYSTEM
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730
Mailing Address - Country:US
Mailing Address - Phone:978-372-2507
Mailing Address - Fax:978-372-5089
Practice Address - Street 1:200 SPRINGS RD
Practice Address - Street 2:VA NEW ENGLAND HEALTHCARE SYSTEM
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730
Practice Address - Country:US
Practice Address - Phone:978-372-2507
Practice Address - Fax:978-372-5089
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB0763910207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0065722Medicaid
087180ACPMedicare ID - Type Unspecified
I23761Medicare UPIN