Basic Information
Provider Information
NPI: 1508333063
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVERA
FirstName: JOAIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN FNP-C PMHNP-BC
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5607 NW 27TH AVE STE 1
Address2:  
City: MIAMI
State: FL
PostalCode: 331422826
CountryCode: US
TelephoneNumber: 3058051700
FaxNumber:  
Practice Location
Address1: 217 NW 15TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331361832
CountryCode: US
TelephoneNumber: 3056376400
FaxNumber: 3056365155
Other Information
ProviderEnumerationDate: 11/01/2018
LastUpdateDate: 07/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X9391958FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LP0808X9391958FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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