Provider Demographics
NPI:1811578446
Name:HARO-SILERIO, JAIME IVAN
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:IVAN
Last Name:HARO-SILERIO
Suffix:
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 1:5932 VIA NORTE LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6600
Mailing Address - Country:US
Mailing Address - Phone:915-540-9054
Mailing Address - Fax:
Practice Address - Street 1:5932 VIA NORTE LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6600
Practice Address - Country:US
Practice Address - Phone:915-540-9054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program