Active NPI
Eliezer Roberto Silva, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1821055864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13953
- Practice address
- J23 Ave Betances
Office (H) Extension Hnos. Davilas
Bayamon, PR 00959-5108 - Phone
- (787) 777-3700
- NPI assigned
- Apr 26, 2006
- Last updated
- Sep 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13953 | PR | Primary |
Addresses
Primary practice location
J23 Ave Betances
Office (H) Extension Hnos. Davilas
Bayamon, PR 00959-5108
Mailing address
9 St. San Fernando
L2
Bayamon, PR 00957-2206
Phone (787) 367-2009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026001552 | PR | Practitioner - General Practice | 2860686565 | Practice locations: Bayamon, PR; Las Piedras, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Bayamon, PR
- NPI 1841610631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1821055864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ST. SAN FERNANDO",
"address_2": "L2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009572206",
"telephone_number": "787-367-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J23 AVE BETANCES",
"address_2": "OFFICE (H) EXTENSION HNOS. DAVILAS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595108",
"telephone_number": "787-777-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "ELIEZER",
"middle_name": "ROBERTO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.