Provider Demographics
NPI:1073536983
Name:DAVILA, ANA I (OTR)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:I
Last Name:DAVILA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:ANA
Other - Middle Name:I
Other - Last Name:DAVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:HC 03 BOX 18348
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-9718
Mailing Address - Country:US
Mailing Address - Phone:787-641-7582
Mailing Address - Fax:787-641-4569
Practice Address - Street 1:HC 3 BOX 18348
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745-9749
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-4569
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR459225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist