Individual provider Active NPI

Eliezer Roberto Silva, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1821055864
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13953 Issued in PR
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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

Verify at the official NPI Registry.