Individual provider Active NPI

Angel Manuel Davila, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1184730376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10304 Issued in PR
Practice address
1462 Calle Prof Augusto Rodrigue
Pavia Hospital
San Juan, PR 00909-2145
Phone
(787) 727-0101
Fax
(787) 728-2641
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10304 PR Primary

Addresses

Primary practice location

1462 Calle Prof Augusto Rodrigue
Pavia Hospital
San Juan, PR 00909-2145

Mailing address

W5-18 Calle Cervantes
Hucares
San Juan, PR 00926-6804
Phone (787) 283-2118

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110419000440 PR Practitioner - General Practice 7113102013 Reassigns benefits to 1 organization
Practice locations: Santurce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc General Practice CurrentSince May 28, 2012 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 28, 2012 Accepting new patients
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc. PastSince Mar 1, 2024 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncTrujillo Alto, PR, CCN 407310 Home health agency Contracted Managing Employee
Corporate Director
Mar 1, 2024
Mar 1, 2024
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncAguadilla, PR, CCN 407320 Home health agency Contracted Managing Employee
Corporate Director
Mar 1, 2024
Mar 1, 2024
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncCaguas, PR, CCN 407311 Home health agency Contracted Managing Employee
Corporate Director
Mar 1, 2024
Mar 1, 2024
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncBayamon, PR, CCN 407308 Home health agency Contracted Managing Employee
Corporate Director
Mar 1, 2024
Mar 1, 2024
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncArecibo, PR, CCN 407309 Home health agency Contracted Managing Employee
Corporate Director
Mar 1, 2024
Mar 1, 2024
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncPonce, PR, CCN 407002 Home health agency Contracted Managing Employee
Corporate Director
Mar 1, 2024
Mar 1, 2024
Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas IncPonce, PR, CCN 401530 Hospice Contracted Managing Employee
Corporate Director
Mar 1, 2024
Mar 1, 2024

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184730376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5-18 CALLE CERVANTES",
            "address_2": "HUCARES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266804",
            "telephone_number": "787-283-2118",
            "fax_number": "787-283-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 CALLE PROF AUGUSTO RODRIGUE",
            "address_2": "PAVIA HOSPITAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092145",
            "telephone_number": "787-727-0101",
            "fax_number": "787-728-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "ANGEL",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.