Active NPI
James Wilford Davison, M.D.
- Adult Medicine Physician
- Ponce, PR
National Provider Identifier
1467439273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 011324
- Practice address
- 2340 Ave Eduardo Ruberte
Ponce, PR 00732-3201 - Phone
- (787) 718-4063
- NPI assigned
- Dec 22, 2005
- Last updated
- Sep 29, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 011324 | PR | Primary |
Addresses
Primary practice location
2340 Ave Eduardo Ruberte
Ponce, PR 00732-3201
Mailing address
PO Box 7494
Ponce, PR 00732-7494
Phone (787) 718-4063
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011324 | PR | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1467439273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7494",
"city": "PONCE",
"state": "PR",
"postal_code": "007327494",
"telephone_number": "787-718-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 AVE EDUARDO RUBERTE",
"city": "PONCE",
"state": "PR",
"postal_code": "007323201",
"telephone_number": "787-718-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "JAMES",
"middle_name": "WILFORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "PR",
"license": "011324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.