DR. EDGAR DAVILA (NPI# 1457469959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457469959 |
| Entity Type | Individual |
| Full Name | DR. EDGAR DAVILA |
| Credential | O.D. |
| Practice Address |
150 Ave De Diego Suite 404 San Juan PR 00907-2300 |
| Mailing Address |
500 Carr 861 Apt 80 Bayamon PR 00956-9313 |
| Practice Telephone | 7877259055 |
| Practice Fax Number | 7877244654 |
| Mailing Telephone | 7874740881 |
| Mailing Fax Number | 7874740881 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 152W00000X | Optometrist | 452 | PR | Eye and Vision Services Providers |
| X | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
452 | PR | Eye and Vision Services Providers |
| X | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
452 | PR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | HUMANA | 2200087 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063944205 | Edgar Davila | Internal Medicine | 124 79th St, Burr Ridge, IL 60527-5958 | 2017-03-28 |
| Street Address |
150 AVE DE DIEGO SUITE 404 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00907-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104800630 | Maria H Berrocal-fernandez | Ophthalmology | 150 Ave De Diego, Suite 404, San Juan, PR 00907-2300 | 2005-11-29 |
| 1790383180 | Melissa Perez | Psychologist | 150 Ave De Diego, San Juan, PR 00927-6307 | 2020-10-16 |
| 1508475757 | High Profile Laboratory San Juan LLC | Clinical Medical Laboratory | 150 Ave De Diego, San Juan Health Center Bldg Suite 402, San Juan, PR 00925 | 2020-07-23 |
| 1649755802 | Joana A Velez Rivera | Speech-Language Pathologist | 150 Ave De Diego, Edif San Juan Health Center, San Juan, PR 00907-0090 | 2018-10-03 |
| 1194244657 | Condado Wellness Center | Specialist | 150 Ave De Diego, 2 Pido San Juan Health Centre, San Juan, PR 00907 | 2017-09-15 |
| 1740640010 | Carmen D Arroyo Torre | Audiologist | 150 Ave De Diego, Edificio San Juan Health Center, San Juan, PR 00907-2110 | 2016-03-01 |
| 1225454697 | Medical Care Clinic Inc. | Internal Medicine | 150 Ave De Diego, Ofic. 101, San Juan, PR 00907-2300 | 2014-03-10 |
| 1942638853 | Ricardo Negron | Durable Medical Equipment & Medical Supplies | 150 Ave De Diego, Suite 507, San Juan, PR 00907-2300 | 2013-10-31 |
| 1780893032 | Hoffa Heathcare Inc. | Point of Service | 150 Ave De Diego, San Juan Heathcentre Bldg. Suite 507, San Juan, PR 00907-2300 | 2007-05-22 |
| 1457560195 | Prosaludhmocorp | Health Maintenance Organization | 150 Ave De Diego, San Juan Healthcentr Blgg. Suite 507, San Juan, PR 00907-2300 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338574 | Pop Health, LLC | Chiropractor | Cond Casa Del Valle, Comercial B, 1450 Ave Ashford, San Juan, PR 00907 | 2020-08-26 |
| 1760091086 | Patrick Anthony Maher | Student in an Organized Health Care Education/Training Program | 1451 Ave Dr. Ashford, San Juan, PR 00907 | 2020-07-23 |
| 1922621283 | Mariana Silva | Clinic/Center | 29 Washigton St Ofice 409, Ashford Medical Center, San Juan, PR 00907 | 2020-05-21 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1376182519 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Vig Tower, Piso 1, 1225 Ave Ponce De Leon, San Juan, PR 00907 | 2020-01-06 |
| 1154979235 | Teresa Pilar Del Rio | Student in an Organized Health Care Education/Training Program | Calle Villamil 303, Apt 1506, San Juan, PR 00907 | 2019-08-31 |
| 1457906208 | Jose A Pineiro Salgado | Audiologist | San Juan Health Center Bldg, 150 Ave De Diego, San Juan, PR 00907 | 2019-08-08 |
| 1649825456 | Melba I Rivera | Social Worker | Hospital De Psiquiatria Estatal Dr Ramon Fernandez Mari, Calle Maga Bo Monacillos, San Juan, PR 00907 | 2019-08-08 |
| 1346894060 | Hazel Faunde | Social Worker | 605 Calle Condado, Edif San Alberto Suite 611, Santurce, PR 00907 | 2019-07-31 |
| 1134789407 | Alexandra Medina Calderon | Social Worker | Edificio Plaza Del Condado, 62-64 Calle Condado, Condado, PR 00907 | 2019-06-18 |
| Find all providers in zip 00907 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945309 | Roseline Larsen | Optometrist | 300 Ave La Sierra # 118m-24, San Juan, PR 00926-4330 | 2020-09-05 |
| 1376178178 | Veoveo Optika LLC | Optometrist | Avenida Emiliano Pol #255, Urb. La Cumbre, San Juan, PR 00926 | 2020-03-12 |
| 1598310674 | Fransheska Martinez Medina | Optometrist | 1900 Ave Jesus T Pinero, San Juan, PR 00921-1102 | 2019-08-06 |
| 1386114494 | Estudio Optometrico Cso LLC | Optometrist | 1492 Ave Ponce De Leon Ste 108, San Juan, PR 00907-4008 | 2018-12-01 |
| 1619465044 | Maria Serrano | Optometrist | D26 Calle 14, San Juan, PR 00926-6213 | 2018-05-01 |
| 1417455312 | Ariette Acevedo | Optometrist | 9410 Ave Los Romeros Ste 35a, San Juan, PR 00926-7003 | 2018-01-25 |
| 1841728375 | Marimar Torres Barreto | Optometrist | 1900 Ave J T Pinro, San Juan, PR 00921-1102 | 2017-05-29 |
| 1174989644 | Dra. Maria A. Hernandez Iglesias | Optometrist | 310b Calle Clemson, University Gardens, San Juan, PR 00927-4022 | 2016-01-13 |
| 1700297165 | Hector Moreno Arias | Optometrist | 600 Ave Fernandez Juncos, Apto 1005 Cond Vistas De San Juan, San Juan, PR 00907-3152 | 2014-05-19 |
| 1083039796 | Best Imagen | Optometrist | 111 Calle Tapia, San Juan, PR 00911 | 2014-03-04 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.