Provider Demographics
NPI:1518594613
Name:SILVESTRINI VILLANUEVA, AMY CHANETT
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:CHANETT
Last Name:SILVESTRINI VILLANUEVA
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:THE VILLAGE AT SUCHVILLE
Mailing Address - Street 2:1 CALLE SAN MIGUEL APT 65
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-423-2534
Mailing Address - Fax:
Practice Address - Street 1:SAN JUAN DENTAL CENTER
Practice Address - Street 2:456 AV TTE CESAR LUIS GONZALEZ
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-753-2376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist