Camila Cristal Feliciano Aviles, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

007347 Issued in PR

Practice address

Avenida Universidad Interamericana Suite 202
San German, PR 00683-0068

Phone

(787) 901-8088

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1275396905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7895",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006609723",
            "telephone_number": "939-284-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA UNIVERSIDAD INTERAMERICANA SUITE 202",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830068",
            "telephone_number": "787-901-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO AVILES",
        "first_name": "CAMILA",
        "middle_name": "CRISTAL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "007347",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "007347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Optical Center (Family Vision Center)
• Family Optical Center Inc. (Family Vision Center)
• Farmacia Belmonte, Inc.
• Farmacia Porta del Sol Corporation
• Farmacia Reparto
• Xavier Omar Feliciano-Soto, PHARMD
• Hostos Fernandez Caamano, M.D.
• Gabriel A Fernandez Palmer, MD
• Clarissa Fernandez, M.D.
• Adriana Cristina Figueroa Diaz, MD

• Clinical Psychologist in San German, PR
• Providers in San German, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.