Provider Demographics
NPI:1962639344
Name:VANESSA SILEBI, MD,PA
Entity Type:Organization
Organization Name:VANESSA SILEBI, MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OQUENDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-858-3900
Mailing Address - Street 1:3661 S MIAMI AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4206
Mailing Address - Country:US
Mailing Address - Phone:305-858-3900
Mailing Address - Fax:
Practice Address - Street 1:3661 S MIAMI AVE STE 108
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4206
Practice Address - Country:US
Practice Address - Phone:305-858-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1780681361OtherSTATE