Provider Demographics
NPI:1447076260
Name:SILVA, CRISTOBAL JR (RN)
Entity type:Individual
Prefix:
First Name:CRISTOBAL
Middle Name:
Last Name:SILVA
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 SUMMER BREEZE RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3271
Mailing Address - Country:US
Mailing Address - Phone:956-778-2227
Mailing Address - Fax:
Practice Address - Street 1:2201 SUMMER BREEZE RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3271
Practice Address - Country:US
Practice Address - Phone:956-778-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX755054163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency