Individual provider Active NPI

Liana E Lopez Davila, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1316099864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12175 Issued in PR
Practice address
Jose Marti #56 Floral Park
San Juan, PR 00917
Phone
(787) 759-7878
Fax
(787) 756-8934
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12175 PR Primary

Addresses

Primary practice location

Jose Marti #56 Floral Park
San Juan, PR 00917

Mailing address

PO Box 364443
San Juan, PR 00936-4443
Phone (787) 759-7878

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12175PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Central de Diagnostico Inc Diagnostic Radiology Past Accepting new patients
Molecular Imaging PSC Past Accepting new patients
Somascan Plaza Inc Past Accepting new patients
Centro Tomografico de PR Inc Past Accepting new patients

Organizations & group practices 4

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316099864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364443",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364443",
            "telephone_number": "787-759-7878",
            "fax_number": "787-756-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOSE MARTI #56 FLORAL PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-759-7878",
            "fax_number": "787-756-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DAVILA",
        "first_name": "LIANA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12175",
            "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 Jul 8, 2007; 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.