Davalos Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DAVALOS HEALTH SERVICES LLC

Practice address

11760 SW 40TH St Ste 335
Miami, FL 33175-3595

Phone

(305) 588-7117

Fax

(305) 227-3151

NPI assigned

Feb 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roberto S DavalosNPI 1760114763

Title

Owner

Phone

(786) 619-1095

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto Sebastian Davalos

  • Student in an Organized Health Care Education/Training Program
  • Miami, FL
  • NPI 1760114763
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1003371774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 335",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-588-7117",
            "fax_number": "305-227-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 335",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753595",
            "telephone_number": "305-588-7117",
            "fax_number": "305-227-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVALOS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "DAVALOS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-619-1095"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020900200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ileana Caridad Daumy, PHARMD.
• Marie R Dauphin, RN
• Shemir Dauphin
• Maria Dausa-Hernandez, D.D.S.
• Lelyen Davalos Fernandez
• Camila Davalos, PA-C
• Cynthia Davalos, RN
• Margarita Davalos, LMHC
• Maria Lorena Davalos, AGACNP
• Roberto Sebastian Davalos

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.