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MRS. LOURDES IVETTE DAVILA RODRIGUEZ OD
NPI 1699869941
Optometrist in Coamo, PR

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
13 WILLIE ROSARIO, SUITE 2, COAMO, PR 00769(787) 825-5458(787) 803-1993 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lourdes Ivette Davila Rodriguez Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LOURDES IVETTE DAVILA RODRIGUEZ OD (NPI 1699869941) is an individual optometrist in Coamo, Puerto Rico, licensed in Puerto Rico (197) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1699869941
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. LOURDES IVETTE DAVILA RODRIGUEZCredential: OD
Location Address13 WILLIE ROSARIO, SUITE 2Coamo, PR 00769
Mailing Address13 Calle Willie Rosario, Suite 2Coamo, PR 00769-3252 · (787) 825-5458 · Fax (787) 803-1993
Phone(787) 825-5458
Fax(787) 803-1993
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 15, 2018
✔ NPI 1699869941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PR · 197
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Other Identifiers 7

Other38275Prossam
Other58026Sss
Other660446068PR · Mapfre
Other660446068Mcs Optica
OtherM000590Menonita
Other2200033Humana
Other890037Mmm

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lourdes Ivette Davila Rodriguez Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163682915
PECOS Enrollment IDI20120402000287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00769 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lourdes Davila Rodriguez's NPI number?

The NPI number for Lourdes Davila Rodriguez is 1699869941. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Lourdes Davila Rodriguez located?

Lourdes Davila Rodriguez practices at 13 Willie Rosario Suite 2, Coamo, PR 00769. The listed phone number is (787) 825-5458.

What is Lourdes Davila Rodriguez's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lourdes Davila Rodriguez enrolled in Medicare?

Yes. Lourdes Davila Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lourdes Davila Rodriguez was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.