Justino Silvestre, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME67570 Issued in FL

Practice address

3524 Tamiami TRL
Suite D
Port Charlotte, FL 33952-8100

Phone

(941) 255-9815

Fax

(941) 255-9831

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1760463053",
    "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",
            "fax_number": "941-255-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 TAMIAMI TRL",
            "address_2": "SUITE D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528100",
            "telephone_number": "941-255-9815",
            "fax_number": "941-255-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVESTRE",
        "first_name": "JUSTINO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_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": []
}

• Shrinathjee LLC (Best Rx Pharmacy-LTC)
• Vickie Shuffitt, P.T.
• Dennis Sultan Siddiqi, D.M.D.
• Ariel Flores Sillano, OTR
• Shelby Silvertooth, APRN
• Katrina Simand
• Raanan Simand, RN
• Annette Simmons
• Simone Williams Afch Inc
• Cheryl Simoneau, O.D.

• Hematology & Oncology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Hematology & Oncology Physician in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.