Angel F. Aviles Ramos, DMD
Individual provider Active NPI Dentist · Aibonito, PR
NPI 1265403083 · NPPES record last updated Dec 16, 2011
Key facts
- NPI
- 1265403083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- #053810 (NY)
- Practice address
- San Jose #155
Aibonito, PR 00705-0000 - Phone
- (787) 735-7960
- Fax
- (787) 735-7960
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151015000317 | PR | Order and Referring Only - Oral Surgery |
7517276496 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #053810 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1191 | PR | |
| Dentist | 122300000X | #053810 | NY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1191 | Other | PR | STATE LICENSE |
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.