Organization Active NPI

Victor Rodriguez Davila LLC

  • General Practice Physician
  • Yabucoa, PR
National Provider Identifier
1003561473
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VICTOR RODRIGUEZ DAVILA LLC
Practice address
PR-3 KM 98.2
Bo Juan Martin
Yabucoa, PR 00791
Phone
(787) 912-8827
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Victor Rodriguez Davila
Title
Principal
Phone
(787) 914-4862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

PR-3 KM 98.2
Bo Juan Martin
Yabucoa, PR 00791

Mailing address

PO Box 1221
Yabucoa, PR 00767-1221
Phone (787) 912-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627003446 PR Part B Supplier - Clinic/Group Practice 5799298204 Receives reassigned benefits from 1 practitioner
Practice locations: Yabucoa, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1003561473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007671221",
            "telephone_number": "787-912-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-3 KM 98.2",
            "address_2": "BO JUAN MARTIN",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-912-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR RODRIGUEZ DAVILA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ DAVILA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "787-914-4862"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.