Provider Demographics
NPI:1356601132
Name:SILVESTRE TOBIAS, LORENA (MD)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:SILVESTRE TOBIAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9473 SOCORRO RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-5619
Mailing Address - Country:US
Mailing Address - Phone:915-858-1076
Mailing Address - Fax:915-242-6563
Practice Address - Street 1:9473 SOCORRO RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-5619
Practice Address - Country:US
Practice Address - Phone:915-858-1076
Practice Address - Fax:915-242-6563
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXQ3102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program