Provider Demographics
NPI:1750931895
Name:DR. VICTOR SILVA MEDICAL CENTER , LLC
Entity type:Organization
Organization Name:DR. VICTOR SILVA MEDICAL CENTER , LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MADELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-443-1364
Mailing Address - Street 1:1615 W WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-2723
Mailing Address - Country:US
Mailing Address - Phone:813-869-5818
Mailing Address - Fax:813-443-2592
Practice Address - Street 1:1615 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-2723
Practice Address - Country:US
Practice Address - Phone:813-443-1364
Practice Address - Fax:813-443-2592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center