Basic Information
| Provider Information | |||||||||
| NPI: | 1982705703 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAVILA-PEREZ | ||||||||
| FirstName: | RUBEN | ||||||||
| MiddleName: | FRANCISCO | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 840853 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752840865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727155000 | ||||||||
| FaxNumber: | 9722333666 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 CITYWEST BLVD | ||||||||
| Address2: | STE. 300 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770422300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136204000 | ||||||||
| FaxNumber: | 7134584229 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 04/28/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 228553 | NY | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | M6094 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 000927244001 | 01 | NY | BS WNY & HEALTH NOW ID | OTHER | 2222 | 01 | NY | BLUE SHIELD GROUP ID | OTHER | P010228553 | 01 | NY | BLUE CHOICE ID | OTHER | 199836101 | 05 | TX | MEDICAID | 7785666 | 01 | NY | AETNA ID | OTHER | 5397111 | 01 | NY | GHI ID | OTHER | 8BK833 | 01 | TX | BCBS | OTHER | G0189393590 | 01 | NY | BLUE CHOICE GROUP ID | OTHER | MDH972 | 01 | NY | PREFERRED CARE | OTHER | P00193698 | 01 | NY | RAILROAD MEDICARE ID | OTHER | 02636253 | 05 | NY | MEDICAID | P00878102 | 01 | TX | RR MEDICARE | OTHER |