Provider Demographics
NPI:1952448649
Name:SILVA, RUTH LIMARIS
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:LIMARIS
Last Name:SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:L36 CALLE 17
Mailing Address - Street 2:RIO GRANDE ESTATES
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-5015
Mailing Address - Country:US
Mailing Address - Phone:787-246-1696
Mailing Address - Fax:787-256-0172
Practice Address - Street 1:L36 CALLE 17
Practice Address - Street 2:RIO GRANDE ESTATES
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745-5015
Practice Address - Country:US
Practice Address - Phone:787-246-1696
Practice Address - Fax:787-256-0172
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4389183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician