Individual
DR. KEYLA DAVILA MARCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE HERNANDEZ CARRION, MANATI PROFESSIONAL PLAZA SUITE OFFICE 304, MANATI, PR 00674
(787) 967-9581
Mailing address
956 CALLE YABOA REAL, SAN JUAN, PR 00924-3354
(787) 967-9581
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21558
PR
390200000X
Student in an Organized Health Care Education/Training Program
31266
PR
390200000X
Student in an Organized Health Care Education/Training Program
BP10062689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10062689
PHYSICIAN INTRAING PERMIT
TX
Enumeration date
09/17/2014
Last updated
07/14/2023
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