Active NPI
Keishla M Davila Rivera, MSW
- Social Worker
- San Juan, PR
National Provider Identifier
1417544735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14047
- Practice address
- Barrio Monacillos Calle Maga
Centro Medico Rio Piedras
San Juan, PR 00922 - Phone
- (787) 764-2838
- NPI assigned
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14047 | PR | Primary |
Addresses
Primary practice location
Barrio Monacillos Calle Maga
Centro Medico Rio Piedras
San Juan, PR 00922
Mailing address
PO Box 2100
San Juan, PR 00922-2100
Phone (787) 764-2438
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14047 | PR | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1417544735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2100",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009222100",
"telephone_number": "787-764-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO MONACILLOS CALLE MAGA",
"address_2": "CENTRO MEDICO RIO PIEDRAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00922",
"telephone_number": "787-764-2838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA RIVERA",
"first_name": "KEISHLA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "14047",
"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 Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.