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General NPI Number Information
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NPI Number | 1407976038
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Entity Type | Individual
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Provider Name | KATHERINE DAVILA MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 129 CALLE JOSE I QUINTON
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City | COAMO
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State | PR
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Zip | 00769-3049
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Country | US
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Telephone | 787-803-0343
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Fax | 787-803-0343
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Provider Business Mailing Address
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Address Line | PO BOX 2188
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City | COAMO
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State | PR
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Zip | 00769-4188
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Country | US
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Telephone | 787-803-0343
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Fax | 787-803-0343
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | 11120
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License Number State | PR
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