MEDICARE: DR. NATALIA SOFIA FERNANDEZ DAVILA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	21389	PR
2	208000000X	Pediatrics Physician	21389	PR

General Provider Information

NPI Number	:	1124404462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIA SOFIA FERNANDEZ DAVILA MD

Provider Business Mailing Address
First Line	:	2431 BLVD LUIS A FERRE
Second Line	:	EDIF. A. PORRATA PILA, SUITE 305
City	:	PONCE
State	:	PR
Zip	:	00717-2113
Country	:	US
Telephone Number	:	787-651-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	2431 BLVD LUIS A FERRE
Second Line	:	EDIF. A. PORRATA PILA, SUITE 305
City	:	PONCE
State	:	PR
Zip	:	00717-2113
Country	:	US
Telephone Number	:	787-401-5757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	04/14/2026

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Directions to “ DR. NATALIA SOFIA FERNANDEZ DAVILA MD” Practice Location

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