Provider Demographics
NPI:1922025956
Name:MERIDA-COPELAND, SILVIA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:C
Last Name:MERIDA-COPELAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:CAROLINA
Other - Last Name:MERIDA-OCHOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 NORTH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-2291
Mailing Address - Country:US
Mailing Address - Phone:207-768-4805
Mailing Address - Fax:207-768-4003
Practice Address - Street 1:23 NORTH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2291
Practice Address - Country:US
Practice Address - Phone:207-768-4805
Practice Address - Fax:207-768-4003
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0170652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME5266014OtherAETNA HMO
MEAS OF 8/17/06OtherBENEFIT SERVICES
MEAS OF 10/16/06OtherUNITED HEALTHCARE
MEAS OF 12/5/06OtherCIGNA
MEAS OF 12/5/06OtherAETNA NON HMO
MEAS OF 8/10/06OtherMARTINS POINT
ME000027OtherANTHEM
MEAS OF 12/5/06OtherCIGNA
MEAS OF 12/5/06OtherCIGNA
ME000027OtherANTHEM