Individual
WILFREDO ENRIQUE RIVERA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(210) 852-7396
Mailing address
3575 DICKMAN RD, FORT SAM HOUSTON, TX 78234-2661
(210) 852-7396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
733859
TX
163WA2000X
Administrator Registered Nurse
733859
TX
163WM0705X
Medical-Surgical Registered Nurse
733859
TX
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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