Provider Demographics
NPI:1497995435
Name:CONTRERAS, LOURDES SILVA
Entity Type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:SILVA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5259
Mailing Address - Country:US
Mailing Address - Phone:619-476-6322
Mailing Address - Fax:619-476-6271
Practice Address - Street 1:780 BAY BLVD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5259
Practice Address - Country:US
Practice Address - Phone:619-476-6322
Practice Address - Fax:619-476-6271
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator