Provider Demographics
NPI:1225914104
Name:SILVA-JAIME, ANDREA NOHEMI
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:NOHEMI
Last Name:SILVA-JAIME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92377-4127
Mailing Address - Country:US
Mailing Address - Phone:909-231-1944
Mailing Address - Fax:
Practice Address - Street 1:2677 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92377-4127
Practice Address - Country:US
Practice Address - Phone:909-231-1944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker