Mrs Lourdes Ivette Davila Rodriguez, OD is a medicare enrolled "Optometrist" provider in Coamo, Puerto Rico. Her current practice location is
13 Willie Rosario, Suite 2, Coamo, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 825-5458.
Mrs Lourdes Ivette Davila Rodriguez is licensed to practice in Puerto Rico (license number 197) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699869941.
Healthcare Provider's Profile
| Full Name | Mrs Lourdes Ivette Davila Rodriguez |
|---|
| Gender | Female |
|---|
| Speciality | Optometrist |
|---|
| Location | 13 Willie Rosario, Coamo, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699869941
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 10/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 2163682915
- Enrollment ID: I20120402000287
Medical Identifiers
Medical identifiers for Mrs Lourdes Ivette Davila Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699869941 | NPI | - | NPPES |
| 58026 | Other | | SSS |
| 2200033 | Other | | HUMANA |
| 38275 | Other | | PROSSAM |
| 660446068 | Other | PR | MAPFRE |
| 660446068 | Other | | MCS OPTICA |
| 890037 | Other | | MMM |
| M000590 | Other | | MENONITA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 197 (Puerto Rico) | Primary |
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. Mrs Lourdes Ivette Davila Rodriguez 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 |
|---|
Mrs Lourdes Ivette Davila Rodriguez, OD
13 Calle Willie Rosario, Suite 2,
Coamo, PR 00769-3252
Ph: (787) 825-5458 | Mrs Lourdes Ivette Davila Rodriguez, OD
13 Willie Rosario, Suite 2,
Coamo, PR 00769
Ph: (787) 825-5458 |
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