Individual
SILERA MERCEDES HOLGUIN BALBUENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE STE 205, CHARLESTON, WV 25304-1223
(304) 388-2303
Mailing address
1220 E CUMBERLAND AVE UNIT 123, TAMPA, FL 33602-4253
(019) 534-0262
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
31018
WV
390200000X
Student in an Organized Health Care Education/Training Program
00000000000000000000
—
Other
Enumeration date
06/19/2017
Last updated
05/31/2022
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