Individual provider Active NPI

Reinaldo Vega Davila, RN-MSN

  • Infusion Therapy Registered Nurse
  • Villalba, PR
National Provider Identifier
1548815376
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
1941E Issued in PR
Practice address
Carr 149 KM 57.4 Bo Tierra Santa
Villalba, PR 00766
Phone
(787) 847-9393
Fax
(787) 847-9292
NPI assigned
Aug 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0500X 1941E PR Primary

Addresses

Primary practice location

Carr 149 KM 57.4 Bo Tierra Santa
Villalba, PR 00766

Mailing address

HC 2 Box 5171
Villalba, PR 00766-9862
Phone (787) 847-9393

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

LicenseStateTypeSpecialty
1941EPRMDInfusion Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1548815376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5171",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669862",
            "telephone_number": "787-847-9393",
            "fax_number": "787-847-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 57.4 BO TIERRA SANTA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-847-9393",
            "fax_number": "787-847-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA DAVILA",
        "first_name": "REINALDO",
        "credential": "RN-MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "PR",
            "license": "1941E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.