Healthcare Provider Details

I. General information

NPI: 1093250953
Provider Name (Legal Business Name): PUERTO RICO HIP INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 AVE LA SIERRA APT 99
SAN JUAN PR
00926-4339
US

IV. Provider business mailing address

300 AVE LA SIERRA APT 99
SAN JUAN PR
00926-4339
US

V. Phone/Fax

Practice location:
  • Phone: 787-602-7277
  • Fax:
Mailing address:
  • Phone: 787-602-7277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARIEL D DAVILA-PARRILLA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-602-7277