Active NPI
Kyrmarie M Davila, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Mayaguez, PR
National Provider Identifier
1679854954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 19912
- Practice address
- Edificio la Palma
Calle Peral #14 Suite Ic
Mayaguez, PR 00677 - Phone
- (787) 644-2002
- NPI assigned
- Aug 31, 2011
- Last updated
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19912 | PR | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 19912 | PR | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 19912 | PR |
Addresses
Primary practice location
Edificio la Palma
Calle Peral #14 Suite Ic
Mayaguez, PR 00677
Mailing address
PO Box 1431
Rincon, PR 00677-1431
Phone (787) 458-5858
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 |
|---|---|---|---|---|
| I20180523000467 | PR | Practitioner - Endocrinology | 7719242759 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Calle Peral Num 14
4F Edificio la Palma
Mayaguez, PR 00680
Phone (787) 644-2002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19912 | PR | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endocrinology Wellness Center LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Dermatology and Mohs Surgery Associates LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Mayaguez, PR
- NPI 1063058287
-
- Dermatology Physician
- San Juan, PR
- NPI 1124689831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1679854954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1431",
"city": "RINCON",
"state": "PR",
"postal_code": "006771431",
"telephone_number": "787-458-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO LA PALMA",
"address_2": "CALLE PERAL #14 SUITE IC",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00677",
"telephone_number": "787-644-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "KYRMARIE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "19912",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PR",
"license": "19912",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PR",
"license": "19912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.