Individual provider Active NPI

Felipe Tirado-Davila, M.D,

  • Psychiatry Physician
  • Sabana Grande, PR
National Provider Identifier
1205247368
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18701 Issued in PR
Practice address
25 Calle Luis Munoz Rivera
Sabana Grande, PR 00637-1892
Phone
(787) 978-7216
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18701 PR Primary

Addresses

Primary practice location

25 Calle Luis Munoz Rivera
Sabana Grande, PR 00637-1892

Mailing address

201 Urb Las Palmas
Sabana Grande, PR 00637-2427
Phone (787) 644-6681

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
I20140725001539 PR Practitioner - Psychiatry 7214153311 Practice locations: Sabana Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ponce School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Calle Luis Munoz Rivera
Sabana Grande, PR 00637-1892
Phone (787) 978-7216

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1205247368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 URB LAS PALMAS",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006372427",
            "telephone_number": "787-644-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE LUIS MUNOZ RIVERA",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371892",
            "telephone_number": "787-978-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO-DAVILA",
        "first_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.