Basic Information
Provider Information
NPI: 1346296472
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVA
FirstName: ARIEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1395 NW 167TH ST
Address2:  
City: MIAMI GARDENS
State: FL
PostalCode: 331695710
CountryCode: US
TelephoneNumber: 3056286117
FaxNumber:  
Practice Location
Address1: 2260 MORSE RD
Address2:  
City: COLUMBUS
State: OH
PostalCode: 43229
CountryCode: US
TelephoneNumber: 6147027899
FaxNumber: 6147061570
Other Information
ProviderEnumerationDate: 05/26/2006
LastUpdateDate: 10/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X35085162-SOHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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