Provider Demographics
NPI:1437115276
Name:DAVILA, YELITZA M (MD)
Entity Type:Individual
Prefix:MRS
First Name:YELITZA
Middle Name:M
Last Name:DAVILA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:GRAN AUSUBO STREET 389
Mailing Address - Street 2:CIUDAU JARDIN III
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4886
Mailing Address - Country:US
Mailing Address - Phone:787-799-0604
Mailing Address - Fax:
Practice Address - Street 1:LAS FLORES STREET 76
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962
Practice Address - Country:US
Practice Address - Phone:787-788-2770
Practice Address - Fax:787-275-0855
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12528208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics