Elixmahir Davila-Marrero

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2641 Issued in PR

Practice address

11 Calle 2 E
Urb. Santa Cruz
Bayamon, PR 00961-3516

Phone

(787) 354-6300

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Puerto Rico School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1033392147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 1273",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569429",
            "telephone_number": "787-354-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE 2 E",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613516",
            "telephone_number": "787-354-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA-MARRERO",
        "first_name": "ELIXMAHIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "2641",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Velazquez Camarena Laboratorio Clinico Dajaos
• Wanda Davila Aponte
• Tainari Davila Rodriguez, PHD
• Javier O Davila Vargas Sr.
• Josimar Davila-Gomez, OD
• Veronica Rocio Davila-Parrilla
• Edny M Davila, PT
• Jose R Davila, PHD
• Lisette Davila
• Melissa Davila, NL

• Clinical Neuropsychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Neuropsychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.