Provider Demographics
NPI:1568481430
Name:RICARDO SILVA, O.D., P.A.
Entity Type:Organization
Organization Name:RICARDO SILVA, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-279-1737
Mailing Address - Street 1:9065 SW 87TH AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2307
Mailing Address - Country:US
Mailing Address - Phone:305-279-1737
Mailing Address - Fax:305-279-1738
Practice Address - Street 1:9065 SW 87TH AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2307
Practice Address - Country:US
Practice Address - Phone:305-279-1737
Practice Address - Fax:305-279-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3280152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1299630001Medicare NSC
FLQ0420Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER