Provider Demographics
NPI:1356147615
Name:DAVILA TRINIDAD, MAYRA LIZBETH
Entity type:Individual
Prefix:
First Name:MAYRA
Middle Name:LIZBETH
Last Name:DAVILA TRINIDAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1773 DONNER CIR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-2109
Mailing Address - Country:US
Mailing Address - Phone:831-214-0984
Mailing Address - Fax:
Practice Address - Street 1:232 MONTEREY ST STE 240
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3409
Practice Address - Country:US
Practice Address - Phone:831-647-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula