Individual provider Active NPI

Advilda D Loubriel Carrio, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1194765669
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10969 Issued in PR
Practice address
Calle Manuel F Rossy Esq Isabel II
Bayamon, PR 00960
Phone
(787) 995-1900
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10969 PR Primary

Addresses

Primary practice location

Calle Manuel F Rossy Esq Isabel II
Bayamon, PR 00960

Mailing address

Los Arboles de Montehiedra
Blvd 600 BZN 342
San Juan, PR 00926-7106
Phone (787) 760-4425

Other practice location 1

Edificio Condado del Mar
1479 Ave Ashford Apt 1420 Condado
San Juan, PR 00907
Phone (787) 640-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10969PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1194765669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOS ARBOLES DE MONTEHIEDRA",
            "address_2": "BLVD 600 BZN 342",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267106",
            "telephone_number": "787-760-4425",
            "fax_number": "787-748-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MANUEL F ROSSY ESQ ISABEL II",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-995-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Edificio Condado del Mar",
            "address_2": "1479 Ave Ashford Apt 1420 Condado",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00907",
            "country_code": "US",
            "telephone_number": "787-640-1187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUBRIEL CARRIO",
        "first_name": "ADVILDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.