Emilio J Davila Agosto

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16603 Issued in PR

Practice address

PR-2, KM 48.2
Sector la Lomita
Manati, PR 00674

Phone

(787) 369-8058

NPI assigned

Sep 13, 2006

Last updated

Oct 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Group practices

CSM Servicios de Cuidado IncGroup PAC ID 0042394017, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• CSM Servicios de Cuidado Inc.

  • Primary Care Clinic/Center
  • Toa Baja, PR
  • NPI 1639367154
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1235234758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740847",
            "telephone_number": "787-404-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-2, KM 48.2",
            "address_2": "SECTOR LA LOMITA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-369-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA AGOSTO",
        "first_name": "EMILIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela A Cubano, PSYD
• Brenda Iris Cubero, O.D.
• Braulio Jose Cuesta Camunas, MD
• Lunimar Curbelo-Gonzalez, PHD
• D & D Medical Services, Inc.
• Keyla Davila Marcano
• DC Anesthesia PSC
• Dcpediatrics
• Diana Maria De Frias, MD
• Jaclyn De Jesus Martinez, PHARM D

• General Practice Physician in Manati, PR
• Providers in Manati, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.