Lourdes Ivette Davila Rodriguez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

197 Issued in PR

Practice address

13 Willie Rosario
Suite 2
Coamo, PR 00769

Phone

(787) 825-5458

Fax

(787) 803-1993

NPI assigned

Oct 3, 2006

Last updated

Oct 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Preserve Vision LLC

  • Optometrist
  • Coamo, PR
  • NPI 1609711209
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1699869941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CALLE WILLIE ROSARIO",
            "address_2": "SUITE 2",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693252",
            "telephone_number": "787-825-5458",
            "fax_number": "787-803-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WILLIE ROSARIO",
            "address_2": "SUITE 2",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-825-5458",
            "fax_number": "787-803-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA RODRIGUEZ",
        "first_name": "LOURDES",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelia Cortes
• Cruz Medical LLC
• Bryan Reinaldo Cruz Padilla
• Rafael Jose Cummings Lopez
• Luis A David
• Katherine Davila, MD
• Marie Sara De Jesus Melendez, RPH
• Emma P De Jesus, RN.M.S.N.R.A.D.M.
• Doel Delgado-Lopez, MD
• Xavier Delgado-Lopez, MD

• Optometrist in Coamo, PR
• Providers in Coamo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.