Organization Active NPI

Justino Silvestre MD PA

  • Hematology & Oncology Physician
  • Port Charlotte, FL
National Provider Identifier
1104966639
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME67570 Issued in FL
Legal business name
JUSTINO SILVESTRE MD PA
Practice address
3524 Tamiami Trail
Suite D
Port Charlotte, FL 33948
Phone
(941) 255-9815
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justino Silvestre, MD
Title
Owner and Physician
Phone
(941) 255-9815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X ME67570 FL Primary

Addresses

Primary practice location

3524 Tamiami Trail
Suite D
Port Charlotte, FL 33948

Mailing address

PO Box 495550
Port Charlotte, FL 33949-5550
Phone (941) 255-9815

Other identifiers 1

IdentifierTypeStateIssuer
252914900MedicaidFL

National Provider Directory

National Provider Directory

Locations

3524 Tamiami Trl
Ste D
Pt Charlotte, FL 33952
Phone (941) 255-9815

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1104966639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495550",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495550",
            "telephone_number": "941-255-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 TAMIAMI TRAIL",
            "address_2": "SUITE D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33948",
            "telephone_number": "941-255-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINO SILVESTRE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "SILVESTRE",
        "authorized_official_first_name": "JUSTINO",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "941-255-9815",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME67570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252914900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.