Provider Demographics
NPI:1497743348
Name:DAVILA ORTIZ, RAMON A (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:A
Last Name:DAVILA ORTIZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0183
Mailing Address - Country:US
Mailing Address - Phone:787-892-0399
Mailing Address - Fax:787-892-6250
Practice Address - Street 1:100 CALLE HERNAN ALVAREZ
Practice Address - Street 2:PLAZA METROPOLITANA, SUITE 107
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4173
Practice Address - Country:US
Practice Address - Phone:787-892-0399
Practice Address - Fax:787-892-6250
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2011-06-30
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Provider Licenses
StateLicense IDTaxonomies
PR11066207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
F58528Medicare UPIN