Individual
DR. EDGAR DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 AVE DE DIEGO, SUITE 404, SAN JUAN, PR 00907-2300
(787) 725-9055
(787) 724-4654
Mailing address
500 CARR 861, APT 80, BAYAMON, PR 00956-9313
(787) 474-0881
(787) 474-0881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
452
PR
152WC0802X
Corneal and Contact Management Optometrist
452
PR
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
452
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2200087
HUMANA
PR
Enumeration date
08/26/2006
Last updated
09/11/2025
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