Provider Demographics
NPI:1558143156
Name:DAVILA-TORRES, CARMEN ANA (RN BSN)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:ANA
Last Name:DAVILA-TORRES
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 CALLE BENITEZ CASTANO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911-2217
Mailing Address - Country:US
Mailing Address - Phone:787-634-1830
Mailing Address - Fax:
Practice Address - Street 1:108 CALLE BENITEZ CASTANO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-2217
Practice Address - Country:US
Practice Address - Phone:787-634-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY759562163WG0000X
PR87146163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice