Provider Demographics
NPI:1952599250
Name:SILVIA SILVA-DULUC, MD PA
Entity Type:Organization
Organization Name:SILVIA SILVA-DULUC, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:SILVA-DULUC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-412-6034
Mailing Address - Street 1:9995 SW 72ND ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4662
Mailing Address - Country:US
Mailing Address - Phone:305-412-6034
Mailing Address - Fax:305-412-6686
Practice Address - Street 1:9995 SW 72ND ST
Practice Address - Street 2:SUITE 208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4662
Practice Address - Country:US
Practice Address - Phone:305-412-6034
Practice Address - Fax:305-412-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME935822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9537Medicare PIN