Nicolle Davila Castrodad, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

019109 Issued in PR

Practice address

Hospital Pediatrico
Centro Medico de Puerto Rico, Barrio Monacillos
San Juan, PR 00935-0001

Phone

(787) 474-0333

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

No

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.

• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488
  NPD (past)
• Departamento de Salud Oficial

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rio Piedras, PR
  • NPI 1023169034
  NPD (past)
• Dorado Health Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  NPD (past)
• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2016.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1790039766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY PEDIATRIC HOSPITAL",
            "address_2": "CENTRO MEDICO DE PUERTO RICO, BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-474-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL PEDIATRICO",
            "address_2": "CENTRO MEDICO DE PUERTO RICO, BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-474-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA CASTRODAD",
        "first_name": "NICOLLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "019109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Elise Dasta Cruz
• Anne M. Datko-Garland, RD
• Lysbeth R Davila Agosto, DPM
• Angel Uriel Davila Cardona
• Patricia Isabel Davila Cardona, MEDICAL STUDENT
• Natasha Carolina Davila Corujo
• Andres Emmanuel Davila Figueroa
• Luis A Davila Gonzalez
• Rafael A Davila Micheo, MD, EIT
• Joshua Jared Davila Perez

• All providers in San Juan, PR
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.