Individual provider Active NPI

Edny M Davila, PT

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1447586227
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1030 Issued in PR
Practice address
CC22 Calle Flamboyanes
Urb. Rio Hondo
Bayamon, PR 00961-3407
Phone
(787) 922-4372
Fax
(787) 622-8464
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1030 PR Primary

Addresses

Primary practice location

CC22 Calle Flamboyanes
Urb. Rio Hondo
Bayamon, PR 00961-3407

Mailing address

468 Calle Paloma
Urb. Los Montes
Dorado, PR 00646-9442
Phone (787) 922-4372

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

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1447586227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 CALLE PALOMA",
            "address_2": "URB. LOS MONTES",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469442",
            "telephone_number": "787-922-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CC22 CALLE FLAMBOYANES",
            "address_2": "URB. RIO HONDO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613407",
            "telephone_number": "787-922-4372",
            "fax_number": "787-622-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "EDNY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.