Provider Demographics
NPI:1730968405
Name:DAVILA, ERICK ANDRES
Entity type:Individual
Prefix:
First Name:ERICK
Middle Name:ANDRES
Last Name:DAVILA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 JUPITER DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5811
Mailing Address - Country:US
Mailing Address - Phone:408-429-4898
Mailing Address - Fax:
Practice Address - Street 1:1635 JUPITER DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5811
Practice Address - Country:US
Practice Address - Phone:408-429-4898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide