Provider Demographics
NPI:1023862059
Name:ALLEGRETTI, SILVIO RAFAEL MARIA (MD)
Entity type:Individual
Prefix:MR
First Name:SILVIO
Middle Name:RAFAEL MARIA
Last Name:ALLEGRETTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 WEST MOANA LANE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4980
Mailing Address - Country:US
Mailing Address - Phone:775-682-8515
Mailing Address - Fax:775-682-8568
Practice Address - Street 1:1155 MILL ST WII
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:775-682-8515
Practice Address - Fax:775-682-8568
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2025-01-16
Deactivation Date:2024-12-04
Deactivation Code:
Reactivation Date:2025-01-16
Provider Licenses
StateLicense IDTaxonomies
390200000X
NVLL42345207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program