Individual provider Active NPI

Patricia Isabel Davila Cardona, MEDICAL STUDENT

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1295399301
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
228868 Issued in PR
Practice address
Paseo Dr Jose Celso Barbosa
Hospital Municipal San Juan
San Juan, PR 00921
Phone
(787) 404-4212
NPI assigned
Apr 24, 2019
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 228868 PR Primary

Addresses

Primary practice location

Paseo Dr Jose Celso Barbosa
Hospital Municipal San Juan
San Juan, PR 00921

Mailing address

342 Calle Tivoli
Vega Baja, PR 00693-3644
Phone (787) 404-4212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
228868PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1295399301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 CALLE TIVOLI",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933644",
            "telephone_number": "787-404-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO DR JOSE CELSO BARBOSA",
            "address_2": "HOSPITAL MUNICIPAL SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-404-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA CARDONA",
        "first_name": "PATRICIA",
        "middle_name": "ISABEL",
        "credential": "MEDICAL STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "228868",
            "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 Apr 25, 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.