Provider Demographics
NPI:1841208105
Name:ROTEMBERG, SILVIA CRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:CRISTINA
Last Name:ROTEMBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILVIA CRISTINA
Other - Middle Name:
Other - Last Name:ROTEMBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7500 SW 87TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5426
Mailing Address - Country:US
Mailing Address - Phone:305-274-5170
Mailing Address - Fax:305-274-5172
Practice Address - Street 1:7300 SW 62ND PL
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4806
Practice Address - Country:US
Practice Address - Phone:305-669-0184
Practice Address - Fax:305-669-0720
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078597208200000X
FLME101261208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2682771Medicaid
OHI60564Medicare UPIN
OHRO7359481Medicare PIN