Basic Information
Provider Information
NPI: 1659675296
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILVA
FirstName: CARLOS
MiddleName: H
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 86 W UNDERWOOD ST
Address2:  
City: ORLANDO
State: FL
PostalCode: 328061110
CountryCode: US
TelephoneNumber: 8889123648
FaxNumber: 3218414085
Practice Location
Address1: 3200 MACCORKLE AVE SE
Address2:  
City: CHARLESTON
State: WV
PostalCode: 253041227
CountryCode: US
TelephoneNumber: 3043885432
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/22/2010
LastUpdateDate: 01/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X29493WVN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200XME121052FLN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X01073824INN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X01073824AINY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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