Individual provider Active NPI

Santos Ramos Davila, MD

  • General Practice Physician
  • Palm Coast, FL
National Provider Identifier
1982581476
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1762 Issued in FL
Practice address
2 McCormick Dr
Palm Coast, FL 32164-2352
Phone
(386) 246-7365
NPI assigned
Aug 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ACN1762 FL Primary

Addresses

Primary practice location

2 McCormick Dr
Palm Coast, FL 32164-2352

Mailing address

2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198

Other identifiers 1

IdentifierTypeStateIssuer
1762OtherFLMEDICALSTATELICENSEFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251106004509 FL Practitioner - General Practice 7517457633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

2 McCormick Dr
Palm Coast, FL 32164-2352
Phone (386) 246-7365

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1762FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy H Hinman MD PA Single Specialty CurrentSince Nov 3, 2025 Accepting new patients
Island Doctors Intrastate LLC Single Specialty CurrentSince Nov 3, 2025 Accepting new patients

Locations

2 McCormick Dr
Palm Coast, FL 32164
Phone (386) 246-7365

2460 Old Moultrie Rd
Ste 5
St Augustine, FL 32086
Phone (904) 794-7870

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

2460 Old Moultrie Rd
Ste 1
St Augustine, FL 32086
Phone (904) 293-0299

Organizations & group practices 2

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1982581476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MCCORMICK DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642352",
            "telephone_number": "386-246-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS DAVILA",
        "first_name": "SANTOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICALSTATELICENSEFL",
            "identifier": "1762",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.