Individual provider Active NPI

Angel F. Aviles Ramos, DMD

  • Dentist
  • Aibonito, PR
National Provider Identifier
1265403083
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
#053810 Issued in NY
Practice address
San Jose #155
Aibonito, PR 00705-0000
Phone
(787) 735-7960
Fax
(787) 735-7960
NPI assigned
Jan 30, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1191 PR
Dentist 122300000X #053810 NY Primary

Addresses

Primary practice location

San Jose #155
Aibonito, PR 00705-0000

Mailing address

P.O. Box 1507
Aibonito, PR 00705-1507
Phone (787) 735-7960

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151015000317 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517276496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#053810NYMDDentist
1191PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1265403083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1507",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007051507",
            "telephone_number": "787-735-7960",
            "fax_number": "787-735-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JOSE #155",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050000",
            "telephone_number": "787-735-7960",
            "fax_number": "787-735-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES RAMOS",
        "first_name": "ANGEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1191",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "#053810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.