Jesus Ramiro Davila-Rosa, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PACN13 Issued in FL

Practice address

2040 Riverview St
Jacksonville, FL 32208-2657

Phone

(904) 224-5437

NPI assigned

Nov 20, 2020

Last updated

Mar 21, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Angel Kids PA

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1124162854
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1225631203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 RIVERVIEW ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082657",
            "telephone_number": "904-224-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 RIVERVIEW ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082657",
            "telephone_number": "904-224-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA-ROSA",
        "first_name": "JESUS",
        "middle_name": "RAMIRO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "863-PA",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PACN13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren K. Davidson, D.O.
• Gail Louise Davie, M.A., CCC/SLP
• Christine Dahl Davies, CPNP-PC
• Devon Clancy Davies, MA CCC-SLP
• Kristin Davies, ARNP
• Carlos Manuel Davila
• Edgardo Davila, M.D.
• Jesse A Davila, MD
• Julie Davila, MD
• Leanne Teresa Davila, CRNA

• Medical Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.