Basic Information
Provider Information
NPI: 1497195853
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILEN - RIVERA
FirstName: PAMELA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 366492
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009366492
CountryCode: US
TelephoneNumber: 7877540907
FaxNumber:  
Practice Location
Address1: HOSPITAL UNIVERSITARIO DE ADULTOS
Address2: BO. MONACILLOS, CENTRO MEDICO DE PR
City: RIO PIEDRAS
State: PR
PostalCode: 00935
CountryCode: US
TelephoneNumber: 7877540101
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/01/2013
LastUpdateDate: 08/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X19573PRY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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