Healthcare Provider Details

I. General information

NPI: 1306127113
Provider Name (Legal Business Name): FRANCISCO J DAVILA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 09/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A STREET #7 GARCIA
SAN JUAN PR
00926
US

IV. Provider business mailing address

A STREET #7 GARCIA
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-474-2900
  • Fax: 787-765-5338
Mailing address:
  • Phone: 787-474-2900
  • Fax: 787-765-5338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number11594
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: