Individual provider Active NPI

Israel Aviles Hernandez, M.D.

  • Spinal Cord Injury Medicine Physician
  • Arecibo, PR
National Provider Identifier
1104839596
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
14777 Issued in PR
Practice address
Carr 2, KM 81, Marginal, Reparto San Miguel
Arecibo, PR 00612-1299
Phone
(787) 878-4143
Fax
(787) 879-4143
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine Physician 2081P0004X 14777 PR Primary

Addresses

Primary practice location

Carr 2, KM 81, Marginal, Reparto San Miguel
Arecibo, PR 00612-1299

Mailing address

PO Box 2439
Vega Baja, PR 00694-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412001032 PR Practitioner - Physical Medicine and Rehabilitation 0143227884 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Reparto San Miguel
Carr 2 KM 81
Arecibo, PR 00612-0001
Phone (787) 878-4143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14777PRMDSpinal Cord Injury Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Fisiatrico Dr Angel Colon CurrentSince May 31, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1104839596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2439",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006942439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2, KM 81, MARGINAL, REPARTO SAN MIGUEL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006121299",
            "telephone_number": "787-878-4143",
            "fax_number": "787-879-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES HERNANDEZ",
        "first_name": "ISRAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "PR",
            "license": "14777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.