Individual
MR. ROBERTO LUIS DAVILA-DEPEDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 AVE ROOSVELET PLAZA LAS AMERICAS TOWER, SUITE 712, HATO REY, PR 00918-8001
(787) 764-6611
(787) 754-1596
Mailing address
PO BOX 191259, SAN JUAN, PR 00919-1259
(877) 646-6117
(787) 957-3110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5154
PR
207ND0101X
MOHS-Micrographic Surgery Physician
5154
PR
207NS0135X
Procedural Dermatology Physician
5154
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27404
MEDICAL CARD SYSTEM
PR
Enumeration date
09/16/2005
Last updated
04/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us