Provider Demographics
NPI:1942787494
Name:SILVA, ALDO ADRIAN (LVN)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:ADRIAN
Last Name:SILVA
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 SANTOS DR
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-7277
Mailing Address - Country:US
Mailing Address - Phone:956-529-3591
Mailing Address - Fax:
Practice Address - Street 1:1328 SANTOS DR
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-7277
Practice Address - Country:US
Practice Address - Phone:956-529-3591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX335307164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1790847531Medicaid