Davila, Wanda Ivelisse

Davila, Wanda Ivelisse is an sole proprietor health care provider with primary practice located at Assmca Centro De Servicio Carr.13 Barrio Machuelo Terreno Hospital San Lucas, Ponce PR 00731. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Davila, Wanda Ivelisse can be contacted via phone (787) 844-0101.

Contact Information

Primary practice address
Assmca Centro De Servicio Carr.13 Barrio Machuelo Terreno Hospital San Lucas Ponce PR 00731
Phone: (787) 844-0101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 80478 Puerto Rico

Profile Details

NPI number 1457872616
LBN Legal business name Davila, Wanda Ivelisse
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2017
Last updated Jun 28th, 2017 - about 7 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 1457872616 NPPES
Puerto Rico Other 80478 RN
Puerto Rico Other 2629570 RN

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