Individual provider Active NPI

Alex Amir Davila, MD

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1962013573
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022005 Issued in PR
Practice address
271 Calle Joyuda
Vega Baja, PR 00693-6044
Phone
(787) 617-4613
NPI assigned
Aug 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022005 PR Primary

Addresses

Primary practice location

271 Calle Joyuda
Vega Baja, PR 00693-6044

Mailing address

271 Calle Joyuda
Vega Baja, PR 00693-6044
Phone (787) 617-4613

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726001003 PR Practitioner - General Practice 1456754605 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022005PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Jun 10, 2021 Accepting new patients
De Diego Ambulatory Clinic Corp CurrentSince Feb 16, 2023 Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Jun 10, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 10, 2021 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 10, 2021 Accepting new patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 10, 2021 Accepting new patients
De Diego Ambulatory Clinic Corp CurrentSince Feb 16, 2023 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

150 Ave de Diego
Ste 1
Santurce, PR 00907
Phone (787) 798-0100

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1962013573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 CALLE JOYUDA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936044",
            "telephone_number": "787-617-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CALLE JOYUDA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006936044",
            "telephone_number": "787-617-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "ALEX",
        "middle_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.