Provider Demographics
NPI:1982710604
Name:SILVERMAN, ROBIN
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 RODEO RD STE C15
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-6503
Mailing Address - Country:US
Mailing Address - Phone:505-474-5701
Mailing Address - Fax:505-474-1430
Practice Address - Street 1:2801 RODEO RD STE C15
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-6503
Practice Address - Country:US
Practice Address - Phone:505-474-5701
Practice Address - Fax:505-474-1430
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1211111N00000X
CA19283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMT88760Medicare UPIN
1334296008Medicare PIN