Provider Demographics
NPI:1083597280
Name:OCASIO DAVILA, MICHAEL GABRIEL
Entity type:Individual
Prefix:
First Name:MICHAEL GABRIEL
Middle Name:
Last Name:OCASIO DAVILA
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. CONDADO MODERNO
Mailing Address - Street 2:CALLE PLAYERA CASA #89
Mailing Address - City:CAGUAS, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-678-2918
Mailing Address - Fax:
Practice Address - Street 1:URB. CONDADO MODERNO
Practice Address - Street 2:CALLE PLAYERA CASA #89
Practice Address - City:CAGUAS, PR
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-678-2918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program