Provider Demographics
NPI:1669046058
Name:CHU JOY DAVILA, LIN MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:MARGARET
Last Name:CHU JOY DAVILA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:URB VEVE CALZADA
Mailing Address - Street 2:CALLE 3A O28
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:939-216-3292
Mailing Address - Fax:
Practice Address - Street 1:1519 AVE PONCE DE LEON STE 1105
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-1722
Practice Address - Country:US
Practice Address - Phone:787-977-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23377208D00000X
PR16236-I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice