Provider Demographics
NPI:1770166589
Name:RYAN SILVERA, PLLC
Entity type:Organization
Organization Name:RYAN SILVERA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:SILVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-290-4464
Mailing Address - Street 1:2309 MCLEOD AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-0113
Mailing Address - Country:US
Mailing Address - Phone:626-290-4464
Mailing Address - Fax:
Practice Address - Street 1:108 N JACKSON RD STE 16
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78541-3693
Practice Address - Country:US
Practice Address - Phone:956-299-8089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty