Provider Demographics
NPI:1457342180
Name:SILVESTRIZ, RICARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:SILVESTRIZ
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:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-0003
Mailing Address - Country:US
Mailing Address - Phone:787-734-3540
Mailing Address - Fax:787-734-3544
Practice Address - Street 1:23 CALLE DR BARRERAS
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3509
Practice Address - Country:US
Practice Address - Phone:787-734-3540
Practice Address - Fax:787-734-3544
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11532208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089826Medicare PIN
PRH42043Medicare UPIN