Katherine Davila, MD
Individual provider Active NPI Clinical Pathology Physician · Coamo, PR
NPI 1407976038 · NPPES record last updated Jan 5, 2018
Key facts
- NPI
- 1407976038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Pathology Physician 207ZC0006X
- License
- 11120 (PR)
- Practice address
- 129 Calle Jose I Quinton
Coamo, PR 00769-3049 - Phone
- (787) 803-0343
- Fax
- (787) 803-0343
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of Puerto Rico School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arecibo Pathology Services CSP
Practice addresses (Care Compare)
Calle Jose C Vazquez Esquina Troyer
Bo Caonillas
Aibonito, PR 00705-9998
Phone (787) 735-7004
Hospital & facility affiliations
- Hospital Menonita de Cayey
- Hospital Menonita de Aibonito
- Hospital Menonita Guayama
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170830003498 | PR | Practitioner - Pathology | 4284798547 |
Reassigns benefits to 1 organization Practice locations: Aibonito, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11120 | PR | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arecibo Pathology Services CSP | Current |
Accepting new patients | |
| Laboratorio Clinico Coamo Incorporated | Current | Accepting new patients | |
| Laboratorio Clinico Coamo Inc | Current |
Accepting new patients |
Locations
129 Calle Jose I Quinton
Coamo, PR 00769
Phone (787) 803-0343
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 11120 | PR | Yes |
Addresses
Primary practice location
129 Calle Jose I Quinton
Coamo, PR 00769-3049
Mailing address
PO Box 2188
Coamo, PR 00769-4188
Phone (787) 803-0343
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11120 | Other | PR | ANATHOMIC & CLINICAL PATHOLOGY |
Other providers in Coamo, PR
- Cruz Medical LLC
- Bryan Reinaldo Cruz Padilla
- Rafael Jose Cummings Lopez
- Luis A David
- Lourdes Ivette Davila Rodriguez
- Marie Sara De Jesus Melendez
- Emma P De Jesus
- Doel Delgado-Lopez
- Xavier Delgado-Lopez
- Delta Emergency Medical Corp
All providers in Coamo, PR · Clinical Pathology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.