=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487248605
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANGEL URIEL DAVILA CARDONA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2021
-----------------------------------------------------
Last Update Date | 11/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | HOSPITAL MUNICIPAL SAN JUAN CENTRO MEDICO CARR 22, BO MONACILLO
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00935-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-480-2700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 342 CALLE TIVOLI
-----------------------------------------------------
City | VEGA BAJA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00693-3644
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-237-3329
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 24510
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------