Mr Roberto Luis Davila-depedro, MD is a medicare enrolled "Dermatology" physician in Hato Rey, Puerto Rico. He went to University Of Puerto Rico School Of Medicine and graduated in 1974 and has 50 years of diverse experience with area of expertise as Dermatology. His current practice location is
525 Ave Roosvelet Plaza Las Americas Tower, Suite 712, Hato Rey, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 764-6611.
Mr Roberto Luis Davila-depedro is licensed to practice in Puerto Rico (license number 5154) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538154315.
Physician's Profile
| Full Name | Mr Roberto Luis Davila-depedro |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 50 Years |
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| Location | 525 Ave Roosvelet Plaza Las Americas Tower, Hato Rey, Puerto Rico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Roberto Luis Davila-depedro attended and graduated from University Of Puerto Rico School Of Medicine in 1974
NPI Data:
- NPI Number: 1538154315
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234110636
- Enrollment ID: I20040529000134
Medical Identifiers
Medical identifiers for Mr Roberto Luis Davila-depedro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538154315 | NPI | - | NPPES |
| 27404 | Other | PR | MEDICAL CARD SYSTEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 5154 (Puerto Rico) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 5154 (Puerto Rico) | Secondary |
| 207N00000X | Dermatology | 5154 (Puerto Rico) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Roberto Luis Davila-depedro allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology And Mohs Surgery Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124689831
PECOS PAC ID: 7911334420
Enrollment ID: O20200224000139 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roberto Luis Davila-depedro is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Roberto Luis Davila-depedro, MD
Po Box 191259,
San Juan, PR 00919-1259
Ph: (877) 646-6117 | Mr Roberto Luis Davila-depedro, MD
525 Ave Roosvelet Plaza Las Americas Tower, Suite 712,
Hato Rey, PR 00918-8001
Ph: (787) 764-6611 |
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