Organization Active NPI

Davila Medical Center Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1902113939
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DAVILA MEDICAL CENTER INC
Practice address
4315 NW 7TH St Ste 47
Miami, FL 33126-3561
Phone
(305) 441-2760
Fax
(305) 441-2762
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Jose A Davila
Title
President
Phone
(786) 370-6869

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Primary Care Clinic/Center 261QP2300X HCC8852 FL

Addresses

Primary practice location

4315 NW 7TH St Ste 47
Miami, FL 33126-3561

Mailing address

4315 NW 7TH St Ste 47
Miami, FL 33126-3561
Phone (305) 441-2760

National Provider Directory

National Provider Directory

Locations

4315 NW 7th St
Ste 47
Miami, FL 33126
Phone (305) 441-2760

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": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1902113939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 NW 7TH ST STE 47",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263561",
            "telephone_number": "305-441-2760",
            "fax_number": "305-441-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 NW 7TH ST STE 47",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263561",
            "telephone_number": "305-441-2760",
            "fax_number": "305-441-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVILA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-370-6869"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HCC8852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.