Provider Demographics
NPI:1770685216
Name:LOSADA, SILVIA V (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:V
Last Name:LOSADA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5206
Mailing Address - Country:US
Mailing Address - Phone:954-776-1500
Mailing Address - Fax:954-776-1501
Practice Address - Street 1:4604 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5206
Practice Address - Country:US
Practice Address - Phone:954-776-1500
Practice Address - Fax:954-776-1501
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2143672367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301504100Medicaid
FL301504101Medicaid
FL301504100Medicaid
FL301504101Medicaid