Carlos Gabriel Aviles Sr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4580 Issued in PR

Practice address

1948 Calle Jose Fidalgo Diaz Apt 632
Cupey, PR 00926-5329

Phone

(787) 702-2694

NPI assigned

Sep 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caribbean Musculoskeletal and Rehab LLCGroup PAC ID 9234362716, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Caribbean Musculoskeletal and Rehab LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Anasco, PR
  • NPI 1114343555
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1134736911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 CALLE JOSE FIDALGO DIAZ APT 632",
            "city": "CUPEY",
            "state": "PR",
            "postal_code": "009265329",
            "telephone_number": "787-702-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 CALLE JOSE FIDALGO DIAZ APT 632",
            "city": "CUPEY",
            "state": "PR",
            "postal_code": "009265329",
            "telephone_number": "787-702-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "CARLOS",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4380",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avenceneurocognitivo
• Ana Maria Leon, R.PH.
• Los Paisanos (Farmacia Areen)
• Yanira Miranda, PHARMACY TECHNICIAN
• Diana Rivera, PHARM.D.
• Jonathan Josue Rosado Tirado, PSYD

• Physical Therapist in Cupey, PR
• Providers in Cupey, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.