Hector Antonio Tirado Davila Sr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23183 Issued in PR

Practice address

Condominio Riverside Plaza
Calle Santa Cruz Numero 74 Apt 15-B
Bayamon, PR 00961-7077

Phone

(939) 496-5050

NPI assigned

Oct 17, 2022

Sex

Male

Sole proprietor

Yes

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Clinica Dr. Hector Tirado CSP

  • General Practice Physician
  • Comerio, PR
  • NPI 1881466704
  Medicare reassignment NPD
• Asociacion de Medicos de Puerto Rico Ms Inc

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1659009298
  NPD (past)

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1750007126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO RIVERSIDE PLAZA",
            "address_2": "CALLE SANTA CRUZ NUMERO 74 APT 15-B",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617077",
            "telephone_number": "939-496-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO RIVERSIDE PLAZA",
            "address_2": "CALLE SANTA CRUZ NUMERO 74 APT 15-B",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617077",
            "telephone_number": "939-496-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO DAVILA",
        "first_name": "HECTOR",
        "middle_name": "ANTONIO",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Bear Group, Inc.
• The Palms Interventional Pain Clinic, PSC
• Therapy Kiddos 4 You
• Third Molar Inc
• Jacqueline J Thomas, ATOL
• Lourdes M Tirado Marrero, M.D.
• Maria De Los a Tirado Otero, MD
• Ninoshka Tirado Perez, DC
• Edgardo Javier Tirado
• Keishla M Tirado

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.