Individual provider Active NPI

Leticia Hernandez Davila, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Carolina, PR
National Provider Identifier
1750573408
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
17952 Issued in PR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000674 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 1456593839 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
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

LicenseStateTypeSpecialty
17952PRMDGeneral 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

Sources for this page

Verify at the official NPI Registry.