Provider Demographics
NPI:1689898785
Name:ESPADA DAVILA, SHEILA (EDDMS PT)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:ESPADA DAVILA
Suffix:
Gender:F
Credentials:EDDMS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 LUTZ STREET
Mailing Address - Street 2:SANTURCE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915-4306
Mailing Address - Country:US
Mailing Address - Phone:787-486-4589
Mailing Address - Fax:
Practice Address - Street 1:417 LUTZ STREET
Practice Address - Street 2:SANTURCE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-4306
Practice Address - Country:US
Practice Address - Phone:787-486-4589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3722251N0400X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics