Individual provider Active NPI

Ramon A. Davila Ortiz, M.D.

  • Orthopaedic Trauma Physician
  • San German, PR
National Provider Identifier
1497743348
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
11066 Issued in PR
Practice address
100 Calle Hernan Alvarez
Plaza Metropolitana, Suite 107
San German, PR 00683-4173
Phone
(787) 892-0399
Fax
(787) 892-6250
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 11066 PR Primary

Addresses

Primary practice location

100 Calle Hernan Alvarez
Plaza Metropolitana, Suite 107
San German, PR 00683-4173

Mailing address

PO Box 183
San German, PR 00683-0183
Phone (787) 892-0399

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
I20110629000043 PR Practitioner - Orthopedic Surgery 4284812991 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Calle Hernan Alvarez
San German, PR 00683-4173
Phone (787) 892-0399

Hospital & facility affiliations

  • Hospital Pavia Yauco Hospital, Yauco, PR, CCN 400110
  • Hospital Perea Hospital, Mayaguez, PR, CCN 400123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yauco Healthcare Corporation Past Accepting new patients
Southwest Health Corp. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1497743348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830183",
            "telephone_number": "787-892-0399",
            "fax_number": "787-892-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE HERNAN ALVAREZ",
            "address_2": "PLAZA METROPOLITANA, SUITE 107",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834173",
            "telephone_number": "787-892-0399",
            "fax_number": "787-892-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA ORTIZ",
        "first_name": "RAMON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "PR",
            "license": "11066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.