Provider Demographics
NPI:1982705703
Name:DAVILA-PEREZ, RUBEN FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:FRANCISCO
Last Name:DAVILA-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0865
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:1500 CITYWEST BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2300
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228553207L00000X
TXM6094207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000927244001OtherBS WNY & HEALTH NOW ID
NY2222OtherBLUE SHIELD GROUP ID
NYP010228553OtherBLUE CHOICE ID
TX199836101Medicaid
NY7785666OtherAETNA ID
NY5397111OtherGHI ID
TX8BK833OtherBCBS
NYG0189393590OtherBLUE CHOICE GROUP ID
NYMDH972OtherPREFERRED CARE
NYP00193698OtherRAILROAD MEDICARE ID
NY02636253Medicaid
TXP00878102OtherRR MEDICARE
NY2222OtherBLUE SHIELD GROUP ID
NY02636253Medicaid
NY7785666OtherAETNA ID