Individual provider Active NPI

Roberto Antonio De Felix - Davila

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1356455224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
16306 Issued in PR
Practice address
369 Calle de Diego
Torre San Francisco Suite 206
San Juan, PR 00923-3003
Phone
(787) 767-5100
Fax
(787) 764-2472
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Physical Medicine & Rehabilitation Physician 208100000X 16306 PR Primary

Addresses

Primary practice location

369 Calle de Diego
Torre San Francisco Suite 206
San Juan, PR 00923-3003

Mailing address

59 Calle Jaguas
Milaville
San Juan, PR 00926-5119
Phone (787) 672-3332

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
I20061106000282 PR Practitioner - Physical Medicine and Rehabilitation 6103823109 Practice locations: Caguas, PR; Carolina, PR; Gurabo, PR; San Juan, PR; Yabucoa, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

E9 Ave Luis Munoz Marin
Caguas, PR 00725-3331
Phone (787) 745-4355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16306PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Rehabilitation Management PastSince Jan 1, 2004 Accepting new patients
Miguel E. Arroyo-Ramos, MD Physical Medicine & Rehabilitation PastSince Oct 9, 2022 Accepting new patients

Organizations & group practices 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356455224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CALLE JAGUAS",
            "address_2": "MILAVILLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265119",
            "telephone_number": "787-672-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "TORRE SAN FRANCISCO SUITE 206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-767-5100",
            "fax_number": "787-764-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FELIX - DAVILA",
        "first_name": "ROBERTO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "16306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.