Provider Demographics
NPI:1457122285
Name:SILVA, SERGIO II
Entity Type:Individual
Prefix:
First Name:SERGIO
Middle Name:
Last Name:SILVA
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 SPENCER ST APT B
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1757
Mailing Address - Country:US
Mailing Address - Phone:831-601-6625
Mailing Address - Fax:
Practice Address - Street 1:485 SPENCER ST APT B
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1757
Practice Address - Country:US
Practice Address - Phone:831-601-6625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health