Basic Information
| Provider Information | |||||||||
| NPI: | 1609224740 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SILVERIO CASILLA | ||||||||
| FirstName: | OVIANNY | ||||||||
| MiddleName: | NATALIE | ||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | STREET 31 KM 10 LAS PARCELAS 152 RIO BLANCO | ||||||||
| Address2: | |||||||||
| City: | RO BLANCO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7873746857 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 877 KM 1.6 CAMINO LAS LOMAS | ||||||||
| Address2: | |||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876252900 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2016 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 019901 | PR | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.