Provider Demographics
NPI:1497184071
Name:SILVA, RICARDO IV
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:SILVA
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 S ENCINA ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-6714
Mailing Address - Country:US
Mailing Address - Phone:559-240-3667
Mailing Address - Fax:
Practice Address - Street 1:2537 S ENCINA ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-6714
Practice Address - Country:US
Practice Address - Phone:559-240-3667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)