Active NPI
Damaris Davila Rolon, M.D.
- General Practice Physician
- Juncos, PR
National Provider Identifier
1780824920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17428
- Practice address
- 49 Calle Munoz Rivera
Juncos, PR 00777-3112 - Phone
- (787) 743-0525
- NPI assigned
- Feb 28, 2009
- Last updated
- Feb 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17428 | PR | Primary |
Addresses
Primary practice location
49 Calle Munoz Rivera
Juncos, PR 00777-3112
Mailing address
HC 3 Box 15725
Lajas, PR 00667-9616
Phone (787) 550-0946
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 |
|---|---|---|---|---|
| I20130318000446 | PR | Practitioner - General Practice | 8123263373 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17428 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1780824920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 15725",
"city": "LAJAS",
"state": "PR",
"postal_code": "006679616",
"telephone_number": "787-550-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 CALLE MUNOZ RIVERA",
"city": "JUNCOS",
"state": "PR",
"postal_code": "007773112",
"telephone_number": "787-743-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA ROLON",
"first_name": "DAMARIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-28",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.