Davila-Depedro, Roberto Luis

Davila-Depedro, Roberto Luis is an sole proprietor health care provider with primary practice located at 525 Ave Roosvelet Plaza Las Americas Tower Suite 712, Hato Rey PR 00918-8001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Davila-Depedro, Roberto Luis can be contacted via phone (787) 764-6611.

Contact Information

Primary practice address
525 Ave Roosvelet Plaza Las Americas Tower Suite 712 Hato Rey PR 00918-8001
Phone: (787) 764-6611
Fax: (787) 754-1596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 5154 Puerto Rico
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 5154 Puerto Rico
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5154 Puerto Rico

Profile Details

NPI number 1538154315
LBN Legal business name Davila-Depedro, Roberto Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538154315 NPPES
Puerto Rico Other 27404 MEDICAL CARD SYSTEM

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