Active NPI
Wanda Davila Aponte
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1639146202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11957
- Practice address
- 51 Calle Dr Veve
Bayamon, PR 00961-6362 - Phone
- (787) 780-1445
- NPI assigned
- Mar 2, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11957 | PR | Primary |
Addresses
Primary practice location
51 Calle Dr Veve
Bayamon, PR 00961-6362
Mailing address
PO Box 6181
Bayamon, PR 00960-5181
Phone (787) 780-1445
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080402000322 | PR | Practitioner - General Practice | 4082791967 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Avenida Minillas
16 Santa Juanita
Bayamon, PR 00956
Phone (787) 778-2985
Villas de Santa Juanita
A9
Bayamon, PR 00956
Phone (787) 778-2985
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11957 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cmda Medical Services PSC | Past | Accepting new patients | |
| Cmda de Puertorico, Inc. | 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.
-
- Clinic/Center
- Bayamon, PR
- NPI 1396712931
-
- Clinic/Center
- Bayamon, PR
- NPI 1316245582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1639146202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6181",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009605181",
"telephone_number": "787-780-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 CALLE DR VEVE",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616362",
"telephone_number": "787-780-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA APONTE",
"first_name": "WANDA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Dajaos Medical Center CSP
- Dajaos Medical Center CSP
- Damaris Cruz Ortiz
- Horacio Fernando Daubon del Valle, M.D.
- David Velazquez Camarena Laboratorio Clinico Dajaos
- Tainari Davila Rodriguez, PHD
- Javier O Davila Vargas Sr.
- Josimar Davila-Gomez, OD
- Elixmahir Davila-Marrero
- Veronica Rocio Davila-Parrilla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.