Provider Demographics
NPI:1265221451
Name:SILVIO, MANUEL ALFREDO (SA-C)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:ALFREDO
Last Name:SILVIO
Suffix:
Gender:
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21251 BERING REACH DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-3220
Mailing Address - Country:US
Mailing Address - Phone:346-657-1656
Mailing Address - Fax:
Practice Address - Street 1:21251 BERING REACH DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-3220
Practice Address - Country:US
Practice Address - Phone:346-657-1656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25-212246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant