Provider Demographics
NPI:1710943014
Name:PEREZ, SILVERIO
Entity Type:Individual
Prefix:DR
First Name:SILVERIO
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701-1 AVE PONCE DE LEON
Mailing Address - Street 2:PMB 360
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3570
Mailing Address - Country:US
Mailing Address - Phone:787-263-0644
Mailing Address - Fax:787-535-1024
Practice Address - Street 1:CARR 14 KM 72.2 BO RINCON SECTOR LAS LOMAS
Practice Address - Street 2:HOSPITAL MENONITA EDIFICIO PROFESSIONAL
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-0644
Practice Address - Fax:787-535-1024
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR69382085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29529Medicare PIN