Provider Demographics
NPI:1851482681
Name:SANCHEZ-SILVA, MARTHA PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:PATRICIA
Last Name:SANCHEZ-SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 BELFORT RD STE 4015
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1375 E KING AVE STE A
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6831
Practice Address - Country:US
Practice Address - Phone:912-882-2910
Practice Address - Fax:912-882-4529
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84479207Q00000X
GA79798207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH74919Medicare UPIN
FL57904YMedicare PIN