Individual provider Active NPI

Katherine Davila, MD

  • Clinical Pathology Physician
  • Coamo, PR
National Provider Identifier
1407976038
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
License
11120 Issued in 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
Last updated
Jan 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology Physician 207ZC0006X 11120 PR Primary

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

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
I20170830003498 PR Practitioner - Pathology 4284798547 Reassigns benefits to 1 organization
Practice locations: Aibonito, PR

Care Compare profile

Medicare Care Compare
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 CSPGroup PAC ID 8921003062, 2 clinicians

Practice addresses (Care Compare)

Calle Jose C Vazquez Esquina Troyer
Bo Caonillas
Aibonito, PR 00705-9998
Phone (787) 735-7004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11120PRMDClinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Coamo Inc CurrentSince Sep 8, 2000 Accepting new patients
Arecibo Pathology Services CSP CurrentSince Dec 31, 2021 Accepting new patients
Laboratorio Clinico Coamo Incorporated Current Accepting new patients

Locations

129 Calle Jose I Quinton
Coamo, PR 00769
Phone (787) 803-0343

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1407976038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2188",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007694188",
            "telephone_number": "787-803-0343",
            "fax_number": "787-803-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CALLE JOSE I QUINTON",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693049",
            "telephone_number": "787-803-0343",
            "fax_number": "787-803-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "PR",
            "license": "11120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.