Individual provider Active NPI

Viviana Davila Nunez, CRNA

  • Certified Registered Nurse Anesthetist
  • Dorado, PR
National Provider Identifier
1053855957
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
32023 Issued in PR
Practice address
E15 Calle Azucenas
Jardines de Dorado
Dorado, PR 00646-5108
Phone
(787) 607-1513
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 32023 PR Primary
Certified Registered Nurse Anesthetist 367500000X 9312324 FL

Addresses

Primary practice location

E15 Calle Azucenas
Jardines de Dorado
Dorado, PR 00646-5108

Mailing address

E15 C/Azucen S
Jardines de Dorado
Dorado, PR 00646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418001437 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789960287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endoscopic Anesthesia Group, PAGroup PAC ID 8325233000, 5 clinicians

Practice addresses (Care Compare)

1817 N Mills Ave
Orlando, FL 32803-1853
Phone (407) 896-1726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9312324FLMDCertified Registered Nurse Anesthetist
32023PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopic Anesthesia Group, P.a. CurrentSince Dec 1, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
Highlands Anesthesia LLC PastSince Aug 1, 2017 Accepting new patients

Locations

715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071

2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1817 N Mills Ave
Orlando, FL 32803
Phone (407) 241-3248

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1053855957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E15 C/AZUCEN S",
            "address_2": "JARDINES DE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E15 CALLE AZUCENAS",
            "address_2": "JARDINES DE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465108",
            "telephone_number": "787-607-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA NUNEZ",
        "first_name": "VIVIANA",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "32023",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9312324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.