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NPI Code Detail

MEDICARE: DR. ANGEL MANUEL DAVILA M.D.

MEDICARE: DR. ANGEL MANUEL DAVILA M.D.
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
1208D00000XGeneral Practice Physician10304PR

General Provider Information

NPI Number : 1184730376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGEL MANUEL DAVILA M.D.
Provider Business Mailing Address
First Line : W5-18 CALLE CERVANTES
Second Line : HUCARES
City : SAN JUAN
State : PR
Zip : 00926-6804
Country : US
Telephone Number : 787-283-2118
Fax Number : 787-283-2118
Provider Business Practice Location Address
First Line : 1462 CALLE PROF AUGUSTO RODRIGUE
Second Line : PAVIA HOSPITAL
City : SAN JUAN
State : PR
Zip : 00909-2145
Country : US
Telephone Number : 787-727-0101
Fax Number : 787-728-2641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

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