Provider Demographics
NPI:1265709000
Name:TONARELLI DE MAUD, SILVINA BEATRIZ (MD)
Entity type:Individual
Prefix:
First Name:SILVINA
Middle Name:BEATRIZ
Last Name:TONARELLI DE MAUD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILVINA
Other - Middle Name:BEATRIZ
Other - Last Name:TONARELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:440 RAYNOLDS ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-1613
Mailing Address - Country:US
Mailing Address - Phone:915-215-4480
Mailing Address - Fax:915-215-5386
Practice Address - Street 1:4615 ALAMEDA AVE DEPT OF
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2702
Practice Address - Country:US
Practice Address - Phone:915-215-5850
Practice Address - Fax:915-215-8657
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX451402084P0800X
TXQ74882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry