| Dr Gladimiro Davila Martinez, MD | |
|
Calle Jose C. Barbosa, # 68, Las Piedras, PR 00771 | |
| (787) 733-5588 | |
| (787) 733-5588 |
| Full Name | Dr Gladimiro Davila Martinez |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | Calle Jose C. Barbosa, Las Piedras, Puerto Rico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902846496 | NPI | - | NPPES |
| 0028612 | Other | PR | PTAN MEDICARE |
| 0085466A | Other | PR | HATO TEJAS, PSC , PTAN |
| C79765Z | Other | PR | IMAGING & RADIOLOGY ADVOCTES, PSC, PTAN |
| 0028612 A | Other | PR | MEDICARE PTAN |
| 7078 | Other | PR | PUERTO RICO MEDICINE DOCTOR LICENCE |
| 7078 | Other | PR | PUERTO RICO LICENCE |
| DM-06294-3 | Other | PR | AMSSCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7078 (Puerto Rico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cdt Gmsp Inc | 1355317751 | 4 |
| Hato Tejas Psc | 7315010246 | 2 |
| Entity Name | Cdt Gmsp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417922972 PECOS PAC ID: 1355317751 Enrollment ID: O20040908000092 |
| Entity Name | Centro Medico Del Turabo Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710107883 PECOS PAC ID: 9335051952 Enrollment ID: O20080212000105 |
| Entity Name | Sociedad De Radiologos Consultores Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306069901 PECOS PAC ID: 1355424300 Enrollment ID: O20080213000649 |
| Entity Name | Hato Tejas Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528225547 PECOS PAC ID: 7315010246 Enrollment ID: O20080724000760 |
| Entity Name | Cdt Centro De Servicios Medicos Integrados Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942408067 PECOS PAC ID: 5092996652 Enrollment ID: O20110623000128 |
| Entity Name | Dla Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366890311 PECOS PAC ID: 4981986015 Enrollment ID: O20170124002548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gladimiro Davila Martinez, MD P.o. Box 1043, Las Piedras, PR 00771-1043 Ph: (787) 733-5588 | Dr Gladimiro Davila Martinez, MD Calle Jose C. Barbosa, # 68, Las Piedras, PR 00771 Ph: (787) 733-5588 |