Organization Active NPI

Enrique Davila, P.a.

  • Specialist
  • Tamarac, FL
National Provider Identifier
1902010531
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME31035 Issued in FL
Legal business name
ENRIQUE DAVILA, P.A.
Practice address
7431 N University Dr
Suite 110
Tamarac, FL 33321-2956
Phone
(954) 726-0035
Fax
(954) 726-4774
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Enrique Davila, M.D.NPI 1750378709
Title
President
Phone
(954) 726-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME31035 FL Primary

Addresses

Primary practice location

7431 N University Dr
Suite 110
Tamarac, FL 33321-2956

Mailing address

1959 Secoffee St
Miami, FL 33133-3210
Phone (954) 726-0035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1902010531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 SECOFFEE ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333210",
            "telephone_number": "954-726-0035",
            "fax_number": "954-726-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 N UNIVERSITY DR",
            "address_2": "SUITE 110",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212956",
            "telephone_number": "954-726-0035",
            "fax_number": "954-726-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE DAVILA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-726-0035",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME31035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.