Provider Demographics
NPI:1255529608
Name:SILVA RIVERA, JOSE EDGARDO (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:EDGARDO
Last Name:SILVA RIVERA
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2100 OCOEE APOPKA RD STE 210
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-9210
Mailing Address - Country:US
Mailing Address - Phone:407-897-3499
Mailing Address - Fax:407-897-9454
Practice Address - Street 1:2100 OCOEE APOPKA RD STE 210
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-9210
Practice Address - Country:US
Practice Address - Phone:407-897-3499
Practice Address - Fax:407-897-9454
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2021-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR18720208800000X
FLME134899208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology