Basic Information
| Provider Information | |||||||||
| NPI: | 1609162197 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SILVA | ||||||||
| FirstName: | MAURICIO | ||||||||
| MiddleName: | RODRIGUES LOUREIRO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 85 LAFAYETTE STREET | ||||||||
| Address2: | |||||||||
| City: | NEW BRITAIN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060512016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602243642 | ||||||||
| FaxNumber: | 8602242760 | ||||||||
| Practice Location | |||||||||
| Address1: | 305 CHURCH ST STE 15 | ||||||||
| Address2: | |||||||||
| City: | NAUGATUCK | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067702836 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037296641 | ||||||||
| FaxNumber: | 2035755206 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2011 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 248448 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 53116 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.