Provider Demographics
NPI:1518077049
Name:GARCIA, SILVIA ISABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:ISABEL
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:ELIZABETH
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4046
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65808-4046
Mailing Address - Country:US
Mailing Address - Phone:417-269-0700
Mailing Address - Fax:417-269-0709
Practice Address - Street 1:3850 S NATIONAL AVE
Practice Address - Street 2:#700
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5287
Practice Address - Country:US
Practice Address - Phone:417-269-0700
Practice Address - Fax:417-269-0709
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004035255207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209263011Medicaid
167385OtherBLUE CROSS
MO209263003Medicaid
167385OtherBLUE CROSS
MO209263011Medicaid
MO929015128Medicare PIN