Provider Demographics
NPI:1871231845
Name:SILVA ALICEA, ADLEEN YELISSA (THL/TO)
Entity Type:Individual
Prefix:
First Name:ADLEEN
Middle Name:YELISSA
Last Name:SILVA ALICEA
Suffix:
Gender:F
Credentials:THL/TO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. ESTANCIAS DE LOS ARTESNOS
Mailing Address - Street 2:CALLE MADERA 433
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-244-2519
Mailing Address - Fax:
Practice Address - Street 1:URB. ESTANCIAS DE LOS ARTESANOS
Practice Address - Street 2:CALLE MADERA A5
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-244-2519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR737224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant