Gladimiro Davila Martinez, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

7078 Issued in PR

Practice address

Calle Jose C. Barbosa
# 68
Las Piedras, PR 00771

Phone

(787) 733-5588

Fax

(787) 733-5588

NPI assigned

Jun 7, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Diagnostic Radiology

Education

University of Puerto Rico School of Medicine, 1983

Medicare assignment

May accept Medicare assignment

Group practices

CDT GMSP IncGroup PAC ID 1355317751, 6 clinicians

CDT Centro de Servicios Medicos Integrados IncGroup PAC ID 5092996652, 5 clinicians

Hato Tejas PSCGroup PAC ID 7315010246, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hato Tejas PSC

  • Mammography Clinic/Center
  • Bayamon, PR
  • NPI 1528225547
  Medicare reassignment Care Compare group NPD
• CDT Centro de Servicios Medicos Integrados, Inc.

  • Clinic/Center
  • Bayamon, PR
  • NPI 1942408067
  Medicare reassignment Care Compare group
• CDT GMSP Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1417922972
  Medicare reassignment Care Compare group
• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883
  Medicare reassignment NPD
• Dla Imaging LLC

  • Diagnostic Radiology Physician
  • Guaynabo, PR
  • NPI 1366890311
  Medicare reassignment NPD
• Sociedad de Radiologos Consultores,P.S.C.

  dba Centro Radiologico Y Sonografico de Manati

  • Neuroradiology Physician
  • Manati, PR
  • NPI 1306069901
  Medicare reassignment
• Caribbean Roentgen Group,Inc.

  dba Gladimiro Davila-Martinez,M.D.

  • Radiology Clinic/Center
  • Las Piedras, PR
  • NPI 1629295431
  Authorized official Same address or phone
• CDT Centro de Servicios Medicos Integrados Inc.

  dba Laboratorio Clinico Cesmi

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1487895314
  NPD
• CDT GMSP, Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1790750529
  NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• Caguas X Ray

  • Body Imaging Physician
  • Caguas, PR
  • NPI 1417595398
  NPD (past)
• Camuy X Ray & Ultrasound Center, PSC

  • Diagnostic Radiology Physician
  • Camuy, PR
  • NPI 1225182298
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902846496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1043",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711043",
            "telephone_number": "787-733-5588",
            "fax_number": "787-733-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE C. BARBOSA",
            "address_2": "# 68",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-5588",
            "fax_number": "787-733-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA MARTINEZ",
        "first_name": "GLADIMIRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "7078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO LICENCE",
            "identifier": "7078",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO MEDICINE DOCTOR LICENCE",
            "identifier": "7078",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMAGING & RADIOLOGY ADVOCTES, PSC,   PTAN",
            "identifier": "C79765Z",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "0028612 A",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMSSCA",
            "identifier": "DM-06294-3",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "0028612",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HATO TEJAS, PSC ,  PTAN",
            "identifier": "0085466A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Jinan Costas Soto
• Victoria N Cruz Lopez, MSW
• Francisco Cruz Rodriguez, DR.
• Azkar Cuadrado-Guilarte, RN, BSN
• Karla K Davila Delgado
• Glorimar De Leon Rivera
• Felicita Dejesus, PSYD
• Maritza Del Moral
• Pablo Del Valle, M.D.
• Luz Eneida Delgado, M.D.

• Diagnostic Radiology Physician in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.