Provider Demographics
NPI:1942201736
Name:SILVA, VICENTE A (MD)
Entity type:Individual
Prefix:DR
First Name:VICENTE
Middle Name:A
Last Name:SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N HIATUS RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-5206
Mailing Address - Country:US
Mailing Address - Phone:954-437-3700
Mailing Address - Fax:954-437-1204
Practice Address - Street 1:700 N HIATUS RD
Practice Address - Street 2:SUITE 211
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5206
Practice Address - Country:US
Practice Address - Phone:954-437-3700
Practice Address - Fax:954-437-1204
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49614207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251633100Medicaid
FL269024100Medicaid
FLK5219Medicare ID - Type UnspecifiedFEMWELL/GROUP
FL33217Medicare ID - Type UnspecifiedFEMWELL/GROUP
FL269024100Medicaid
FL251633100Medicaid