Active NPI
Angel Manuel Davila, M.D.
- General Practice Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10304
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico del Turabo Inc | General Practice | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc. | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc | 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 Inc | 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 Inc | 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 Inc | 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 Inc | 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 Inc | 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 Inc | 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.
-
- Home Health Agency
- Mayaguez, PR
- NPI 1013641869
Contracted Managing Employee, Corporate Director
-
- Home Health Agency
- Ponce, PR
- NPI 1376278697
Contracted Managing Employee, Corporate Director
-
- Home Health Agency
- Caguas, PR
- NPI 1467187781
Contracted Managing Employee, Corporate Director
-
- Home Health Agency
- Bayamon, PR
- NPI 1558096875
Contracted Managing Employee, Corporate Director
-
- Home Health Agency
- Trujillo Alto, PR
- NPI 1649905969
Contracted Managing Employee, Corporate Director
-
- Home Health Agency
- Arecibo, PR
- NPI 1063147387
Contracted Managing Employee, Corporate Director
-
- Home Infusion Agency
- Ponce, PR
- NPI 1760215206
Contracted Managing Employee, Corporate Director
-
- Community Based Hospice Care Agency
- Ponce, PR
- NPI 1841925161
Contracted Managing Employee, Corporate Director
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.
-
dba Red Medica Hima San Pablo
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
General Practice
-
dba Nova Infusion
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- Home Infusion Agency
- Ponce, PR
- NPI 1760215206
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.