Individual provider Active NPI

Dalya Davila Carmona, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1285605790
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15973 Issued in PR
Practice address
Carr 857 KM 0.4 Barrio Canovanillas
Policlinica Dr. Salvador Ribot Ruiz Inc.,
Carolina, PR 00986-0800
Phone
(787) 776-3840
Fax
(787) 761-0613
NPI assigned
Feb 1, 2006
Last updated
Feb 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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 15973 PR Primary

Addresses

Primary practice location

Carr 857 KM 0.4 Barrio Canovanillas
Policlinica Dr. Salvador Ribot Ruiz Inc.,
Carolina, PR 00986-0800

Mailing address

PO Box 800
Carolina, PR 00986-0800
Phone (787) 776-3840

Other identifiers 1

IdentifierTypeStateIssuer
15973OtherLICENCIA

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
I20060123000193 PR Practitioner - General Practice 8921022591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Policlinica Dr Salvador Ribot Ruiz IncGroup PAC ID 9032211032, 2 clinicians

Practice addresses (Care Compare)

Carr 857 KM
4 Bo Canovanillas
Carolina, PR 00986
Phone (787) 776-3840

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15973PRMDGeneral Practice Physician

Organizations & group practices 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1285605790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860800",
            "telephone_number": "787-776-3840",
            "fax_number": "787-761-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 857 KM 0.4 BARRIO CANOVANILLAS",
            "address_2": "POLICLINICA DR. SALVADOR RIBOT RUIZ INC.,",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860800",
            "telephone_number": "787-776-3840",
            "fax_number": "787-761-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA CARMONA",
        "first_name": "DALYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "15973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.