Individual provider Active NPI

Jonathan Rivera Aviles, MRC

  • Rehabilitation Counselor
  • Manati, PR
National Provider Identifier
1225486459
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
1601 Issued in PR
Practice address
4 Brisas del Norte
Manati, PR 00674-9818
Phone
(787) 477-5657
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 1601 PR Primary

Addresses

Primary practice location

4 Brisas del Norte
Manati, PR 00674-9818

Mailing address

4 Brisas del Norte
Manati, PR 00674-9818
Phone (787) 477-5657

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1601PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1225486459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRISAS DEL NORTE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749818",
            "telephone_number": "787-477-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRISAS DEL NORTE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749818",
            "telephone_number": "787-477-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA AVILES",
        "first_name": "JONATHAN",
        "credential": "MRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "PR",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.