Mario Rafael Davila, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

8249 Issued in PR

Practice address

16 Calle Gandara
Corozal, PR 00783-1983

Phone

(787) 859-1059

Fax

(787) 859-1059

NPI assigned

Feb 27, 2007

Last updated

Aug 15, 2014By the provider in NPPES

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

San Juan Bautista School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Municipality of San Juan PR

  dba Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1154391415
  NPD (past)
• Urrutia Womens Health & Maternity Care LLC

  • Obstetrics & Gynecology Physician
  • Corozal, PR
  • NPI 1346100799
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1033246186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6797",
            "address_2": "LOIZA STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146797",
            "telephone_number": "787-859-1059",
            "fax_number": "787-859-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE GANDARA",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007831983",
            "telephone_number": "787-859-1059",
            "fax_number": "787-859-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "MARIO",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "8249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corozal Vision Care, LLC (Corozal Vision Center)
• Corporacion Ortiz Negron Centro Radiologico Corozal (Centro Radiologico Sonografico Digital Corozal)
• Yousef J Cruz-Inigo, M.D.
• Carlos Andres Cruz-Perez
• Luis I Davila Gonzalez, MD
• Hecmarilys De Hoyos, PTA
• Dermatology Science and Aesthetics PSC
• Eileen Diaz Ortiz, BSN, RN
• Fernando Diaz Rosado
• Enrique Diaz, D.M.D.

• Obstetrics & Gynecology Physician in Corozal, PR
• Providers in Corozal, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.