Provider Demographics
NPI:1518947639
Name:SILVA - HERNANDEZ, FRIEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:FRIEDA
Middle Name:
Last Name:SILVA - HERNANDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:FRIEDA
Other - Middle Name:
Other - Last Name:SILVA DE ROLDAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:DEPARTAMENTO CIENCIAS RADIOLOGICAS
Mailing Address - Street 2:PO BOX 29134
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-625-9958
Mailing Address - Fax:787-622-7852
Practice Address - Street 1:HOSPITAL ONCOLOGICO 4TO PISO MEDICINA NUCLEAR
Practice Address - Street 2:CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00935
Practice Address - Country:US
Practice Address - Phone:787-625-9958
Practice Address - Fax:787-622-7852
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4211207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9-5415Medicare ID - Type Unspecified
PRE08223Medicare UPIN