Angel Davila-Pabon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2729 Issued in PR

Practice address

250 Calle del Parque
Suite 1a
San Juan, PR 00912-3200

Phone

(787) 725-4848

Fax

(787) 725-4848

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334
  Medicare reassignment NPD
• Dental Spa P.S.C.

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1801156013
  NPD (past) Authorized official
• Neomed Center, Inc

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD
• Neomed Center, Inc.

  • Urgent Care Clinic/Center
  • Gurabo, PR
  • NPI 1912384678
  NPD

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1023094596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 AVE ASHFORD",
            "address_2": "COND. CONDADO DEL MAR APT # 410",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071583",
            "telephone_number": "787-725-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CALLE DEL PARQUE",
            "address_2": "SUITE 1A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123200",
            "telephone_number": "787-725-4848",
            "fax_number": "787-725-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA-PABON",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa M. Davila Rivera, M.S.W.
• Ana Maria Davila Rodriguez
• Sergio Andres Davila Santana, PHD
• Roberto E Davila-Alvarado, MD
• Carmen Davila-Colon
• Ariel D Davila-Parrilla, M.D.
• Joan Enid Davila-Rodriguez, MA
• Carmen Ana Davila-Torres, RN BSN
• Angel Manuel Davila, M.D.
• Bexaida Davila, RPH

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.