Healthcare Provider Details

I. General information

NPI: 1528297322
Provider Name (Legal Business Name): GIANNA P UBINAS DAVILA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GIANNA P UBINAS DAVILA MD

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TORRE DE PLAZA LAS AMERICAS SUITE 606
SAN JUAN PR
00918-2261
US

IV. Provider business mailing address

1854 CALLE MCLEARY APT 9
SAN JUAN PR
00911-1334
US

V. Phone/Fax

Practice location:
  • Phone: 787-764-7733
  • Fax: 787-764-6767
Mailing address:
  • Phone: 787-210-5855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20081
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: