Active NPI
Leticia Hernandez Davila, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Carolina, PR
National Provider Identifier
1750573408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 17952
- Practice address
- Escorial Building One, Ste. 240
1400 Parque Sur Ave.
Carolina, PR 00987 - Phone
- (787) 463-0661
- Fax
- (787) 757-7821
- NPI assigned
- Aug 16, 2007
- Last updated
- Feb 13, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17952 | PR | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 17952 | PR | Primary |
| General Practice Physician | 208D00000X | 17952 | PR |
Addresses
Primary practice location
Escorial Building One, Ste. 240
1400 Parque Sur Ave.
Carolina, PR 00987
Mailing address
PO Box 79511
Carolina, PR 00984-9511
Phone (787) 657-0091
Other practice location 1
640 Marginal del Parque
Carolina, PR 00987
Phone (787) 710-9860
Other names 1
- Dr. Leticia Hernandez Davila
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 |
|---|---|---|---|---|
| I20130814000674 | PR | Practitioner - Endocrinology | 1456593839 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Puerto Rico School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
KM
4 Metro Pavia Clinic
Carolina, PR 00987
Phone (787) 710-9860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17952 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1750573408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79511",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009849511",
"telephone_number": "787-657-0091",
"fax_number": "787-657-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ESCORIAL BUILDING ONE, STE. 240",
"address_2": "1400 PARQUE SUR AVE.",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-463-0661",
"fax_number": "787-757-7821"
}
],
"practiceLocations": [
{
"address_1": "640 Marginal del Parque",
"address_purpose": "LOCATION",
"city": "Carolina",
"state": "PR",
"postal_code": "00987",
"country_code": "US",
"telephone_number": "787-710-9860",
"fax_number": "787-710-9871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ DAVILA",
"first_name": "LETICIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "17952",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PR",
"license": "17952",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17952",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LETICIA",
"last_name": "HERNANDEZ DAVILA",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Carolina, PR
- Angie Veronica Heredia Mendez, MD
- Ana Nicolle Hernandez Alejandro, OD
- Luisa Maria Hernandez Busto, RDN, LDN
- Brian Josue Hernandez Colon
- Patricia Edmee Hernandez Cruz, MCSW
- Mariane Charline Hernandez Diaz, LM, CPM, CLC
- Juan M Hernandez Flores, PHD
- Giovan E Hernandez Lebron, MD
- Jose Manuel Hernandez Loring, DMD MPH MS
- Reina M. Hernandez Rohena, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.