MRS. WANDA IVELISSE DAVILA (NPI# 1457872616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457872616 |
| Entity Type | Individual |
| Full Name | MRS. WANDA IVELISSE DAVILA |
| Credential | RN |
| Practice Address |
Assmca Centro De Servicio Carr.13 Barrio Machuelo Terreno Hospital San Lucas Ponce PR 00731 |
| Mailing Address |
Urb. Vives Calle C #144 Guayama PR 00784 |
| Practice Telephone | 7878440101 |
| Mailing Telephone | 7872140413 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
80478 | PR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | RN | 2629570 | 01 |
| PR | RN | 80478 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477626075 | Wanda I Davila | Counselor | 235 Maple St, Holyoke, MA 01040-5123 | 2006-11-15 |
| Street Address |
ASSMCA CENTRO DE SERVICIO CARR.13 BARRIO MACHUELO TERRENO HOSPITAL SAN LUCAS |
| City | PONCE |
| State | PR |
| Zip Code | 00731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742719 | Charlenee Cordero-hernandez | Specialist/Technologist | Bo. Magueyes Carr. Pr 123, Km 10.1, Ponce, PR 00731 | 2020-08-25 |
| 1194350405 | Genesis Salcedo | Student in an Organized Health Care Education/Training Program | Bo Pastillo Tibes, Carretera 503 Km 6.9, Ponce, PR 00731 | 2020-03-06 |
| 1437612991 | Rosa Santiago Molina | Social Worker | Condominio Senotial Plaza Calle Salud 313, Edificio #10, Ponce, PR 00731 | 2019-04-11 |
| 1265990048 | Advance Medical & Administrative Support Corp | Point of Service | 1326 Salud, Condominio El Senorial Plaza Suite 413, Ponce, PR 00731 | 2019-03-11 |
| 1841767860 | Annette Roman Marrero | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Reparada Lote 2, Ponce, PR 00731 | 2018-10-29 |
| 1699253765 | Red De Medicos Asociados Del Sur, Inc | Clinic/Center | Pr10 Km 0.1 Barrio Canas, Ponce, PR 00731 | 2018-08-01 |
| 1790205037 | Sonia Iris Cintron | Registered Nurse | Carretera 13 Barrio Machuelo Terreno Hosp San Lucas, Assmca Centro De Servicio, Ponce, PR 00731 | 2017-06-27 |
| 1457899502 | Stephanie Albelo Ortiz | Specialist/Technologist | Carr 132 Km 22 7, Reparto Valle Alegre, Ponce, PR 00731 | 2017-02-09 |
| 1508223652 | Professional Integrated Medical Solution,psc | Clinic/Center | 121 Calle Castania, Urb Terra Senorial, Ponce, PR 00731 | 2016-01-20 |
| 1255798443 | Jaser Rivera Rivera | Registered Nurse | Carretera 1 Km 121.5, Box Calzeda, Ponce, PR 00731 | 2016-01-20 |
| Find all providers in zip 00731 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780183020 | Marilyn Vega Andujar | Registered Nurse | 184 Calle Guadalupe, Ponce, PR 00730-3561 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851874606 | Viviana Hernandez | Registered Nurse | Edificio Galeria Del Norte, Oficina 301, Hatillo, PR 00612 | 2018-09-07 |
| 1942500277 | Hernan Luis-hernandez | Registered Nurse | 120 Street Antiguo Hospital De Distrito- Assmca, Cotto Station Box 9550, Arecibo, PR 00613 | 2010-11-03 |
| 1063676294 | Mayra Colon Rivera | Registered Nurse | I19 Calle Margarita, Urb. Jardines De Cayey II, Cayey, PR 00736-4207 | 2008-07-16 |
| 1790989069 | Roberto Martinez | Registered Nurse | Teniente Cesar Gonzales, 1106 Villa Nevarez, Rio Piedras, PR 00928 | 2007-06-12 |
| 1841400496 | Nilda Milagros Cruz | Registered Nurse | 410 Ave Hostos Suite 7, Centro Salud Mental De Mayaguez, Mayaguez, PR 00682-1522 | 2007-05-23 |
| 1366756652 | Nancy Colon | Registered Nurse | 392 Ave Jose De Diego W, Cayey, PR 00736-3747 | 2010-07-29 |
| 1235443524 | Alicia Gomez | Registered Nurse | 392 Ave Jose De Diego W, Cayey, PR 00736-3747 | 2010-07-29 |
| 1285948562 | Luis Alberto Vega | Registered Nurse | 392 Ave Jose De Diego W, Cayey, PR 00736-3747 | 2010-07-29 |
| 1780888412 | Giselle Chevrez | Registered Nurse | Teniente Cesar Gonzalez, 1106 Villa Nevarez, Rio Piedras, PR 00928 | 2007-06-14 |
| 1528262250 | Josefina Santos | Registered Nurse | Teniente Cesar Gonzalez, 1106 Villa Nevarez, Rio Piedras, PR 00928 | 2007-06-14 |
| Find all providers with the same taxonomy | ||||
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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.