Individual
MR. JUAN ANTONIO DAVILA-LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 CALLE VICENTE PALES OESTE, GUAYAMA, PR 00784-4851
(787) 864-1475
(787) 864-1470
Mailing address
PO BOX 722, GUAYAMA, PR 00785-0722
(787) 864-1475
(787) 864-1470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7015
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068715
BLUE CROSS
PR
01
—
28570
BLUE SHIELD SSS
PR
01
—
400037
MMM
PR
Enumeration date
09/12/2006
Last updated
07/08/2007
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