Keyla Davila Marcano

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

21558 Issued in PR

Practice address

Calle Hernandez Carrion
Manati Professional Plaza Suite Office 304
Manati, PR 00674

Phone

(787) 967-9581

NPI assigned

Sep 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Vega Baja Dialysis facility, Vega Baja, PR, CCN 402518
• Atlantis Manati Dialysis facility, Manati, PR, CCN 402533
• Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114
• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
• Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdavilamarcano78836@direct.acumenmd.com
• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Dallas Nephrology Associates

  • Nephrology Physician
  • Dallas, TX
  • NPI 1861440109

  PR, Single Specialty

  Medicare reassignment Care Compare group NPD
• Nefrologia CSP

  • Medical Specialty Clinic/Center
  • Manati, PR
  • NPI 1588048482

  Single Specialty

  Medicare reassignment NPD
• Dallas Nephrology Associates

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD
• Cruz Soto & Padilla, Nefrologos, CSP

  • Nephrology Physician
  • Manati, PR
  • NPI 1548314719

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  Care Compare affiliation
• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  Care Compare affiliation
• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1699177014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 CALLE YABOA REAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243354",
            "telephone_number": "787-967-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION",
            "address_2": "MANATI PROFESSIONAL PLAZA SUITE OFFICE 304",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-967-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 N Beckley Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75203",
            "country_code": "US",
            "telephone_number": "214-947-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA MARCANO",
        "first_name": "KEYLA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "31266",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10062689",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "21558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN INTRAING PERMIT",
            "identifier": "BP10062689",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Iris Cubero, O.D.
• Braulio Jose Cuesta Camunas, MD
• Lunimar Curbelo-Gonzalez, PHD
• D & D Medical Services, Inc.
• Emilio J Davila Agosto
• DC Anesthesia PSC
• Dcpediatrics
• Diana Maria De Frias, MD
• Jaclyn De Jesus Martinez, PHARM D
• Maria Jose De Jesus Pagan, MD

• Nephrology Physician in Manati, PR
• Providers in Manati, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.

Verify at the official NPI Registry.