Physician Compare National (NPI:1366672248)

HEALTHCARE PROVIDER: JAVIER CHAPA DAVILA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366672248
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012230501
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150109000181
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHAPA DAVILA
	Individual professional last name
Provider First Name	JAVIER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	INTERNATIONAL RADIOLOGY CENTER AND MEDICAL GROUP, PSC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3971669094
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 CARR 165 TORRE 1
	Group Practice or individual's line 1 address
Line 2 Street Address	C107 CENTRO INTERNACIONAL DE MERCADEO
	Group Practice or individual's line 2 address
City	GUAYNABO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009688047
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7879995400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y