Provider Demographics
NPI:1477989606
Name:RODRIGUEZ TORRES, SILVANO LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVANO
Middle Name:LUIS
Last Name:RODRIGUEZ TORRES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-1403
Mailing Address - Country:US
Mailing Address - Phone:803-531-2220
Mailing Address - Fax:803-531-7975
Practice Address - Street 1:3709 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-1403
Practice Address - Country:US
Practice Address - Phone:803-531-2220
Practice Address - Fax:803-531-7975
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC52514207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty