Individual provider Active NPI

Javier Chapa Davila, M.D.

  • Clinical Neurophysiology Physician
  • Guaynabo, PR
National Provider Identifier
1366672248
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
18212 Issued in PR
Practice address
Centro Internacional de Mercadeo Carr 165
Torre 1 Suite 311
Guaynabo, PR 00096
Phone
(787) 224-9188
Fax
(939) 437-4302
NPI assigned
Jul 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 18212 PR Primary

Addresses

Primary practice location

Centro Internacional de Mercadeo Carr 165
Torre 1 Suite 311
Guaynabo, PR 00096

Mailing address

100 Carr 165 Ste 311
Guaynabo, PR 00968-8050
Phone (787) 224-9188

Other names 1

  • Javier Chapa Davila Former name

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
I20150109000181 PR Practitioner - Neurology 7012230501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Radiology Center and Medical Group, PSCGroup PAC ID 3971669094, 2 clinicians

Practice addresses (Care Compare)

100 Carr 165 Torre 1
C107 Centro Internacional de Mercadeo
Guaynabo, PR 00968
Phone (787) 999-5400

Centro Internacional de Mercadeo
Carra 165 Suite 311
Guaynabo, PR 00968-8050
Phone (787) 224-9188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18212PRMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Radiology Center & Medical Group, PSC CurrentSince Oct 14, 2019 Accepting new patients
Neuroepilepsy LLC Neurology CurrentSince Jun 23, 2025 Accepting new patients
Neurosleep Puerto Rico LLC Neurology CurrentSince Jul 1, 2022 Accepting new patients
PLG Breast Imaging Services, PSC CurrentSince Jan 31, 2020 Accepting new patients
Epilepsia Neuroimagenes, CSP Clinical Neurophysiology CurrentSince Dec 15, 2015 Accepting new patients
Dorado Health Inc Past Accepting new patients

Locations

100 Carr 165
Ste C107
Guaynabo, PR 00968
Phone (787) 296-8880

100 Carr 165
Ste 311
Guaynabo, PR 00968
Phone (787) 224-9188

4 Calle Ramos Antonini
Las Piedras, PR 00771
Phone (787) 912-6662

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1366672248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 311",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688050",
            "telephone_number": "787-224-9188",
            "fax_number": "939-437-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO INTERNACIONAL DE MERCADEO CARR 165",
            "address_2": "TORRE 1 SUITE 311",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00096",
            "telephone_number": "787-224-9188",
            "fax_number": "939-437-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPA DAVILA",
        "first_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-25",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "18212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "CHAPA DAVILA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.