Individual provider Active NPI

Andres Gonzalez Aviles Sr., OD

  • Optometrist
  • Moca, PR
National Provider Identifier
1346234150
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
615-0117 Issued in PR
Practice address
380 Calle la Guadalupe
Moca, PR 00676-4316
Phone
(787) 604-7573
NPI assigned
Sep 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 615-0117 PR Primary

Addresses

Primary practice location

380 Calle la Guadalupe
Moca, PR 00676-4316

Mailing address

380 Calle la Guadalupe
Moca, PR 00676-4316
Phone (787) 604-7573

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
I20050311000431 PR Practitioner - Optometry 3779537709 Reassigns benefits to 2 organizations
Practice locations: Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toperbee CorporationGroup PAC ID 7517287048, 9 clinicians

Practice addresses (Care Compare)

17005 Carr
2 39
Aguadilla, PR 00603-4953
Phone (787) 822-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
615-0117PRMDOptometrist
615PRMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. Current Accepting new patients
Luxottica of America Inc CurrentSince May 13, 2019 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Sep 7, 2021 Accepting new patients
Luxottica of America Inc CurrentSince May 13, 2019 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Sep 7, 2021 Accepting new patients
Toperbee Corporation Optometrist PastSince Sep 7, 2021 Accepting new patients
Better Health Ambulance Services Past Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients

Locations

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

2050 Ponce Byp
Ponce, PR 00716
Phone (787) 259-9497

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346234150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CALLE LA GUADALUPE",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764316",
            "telephone_number": "787-604-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CALLE LA GUADALUPE",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764316",
            "telephone_number": "787-604-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ AVILES",
        "first_name": "ANDRES",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "615-0117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.