Jose A Aviles Maisonet, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15530 Issued in PR

Practice address

168 Ave Winston Churchill
Ste 1
San Juan, PR 00926-6013

Phone

(787) 312-0964

Fax

(787) 756-0964

NPI assigned

Jul 26, 2006

Last updated

May 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• First Medical Center Inc

  • General Practice Physician
  • Comerio, PR
  • NPI 1669589768
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1346264207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009717801",
            "telephone_number": "787-403-8638",
            "fax_number": "787-855-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 AVE WINSTON CHURCHILL",
            "address_2": "STE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-312-0964",
            "fax_number": "787-756-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES MAISONET",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Antonio Avila, PA
• Lynnette Avila, MD
• Teresita A. Aviles - Rodriguez, MD
• Aviles Burgos Medical Group & Hospitalist Services
• Kenneth Aviles Fernandez, MD
• Gabriel Jesus Aviles Matias, RPT
• Richard Anthony Aviles Michel, PH.D, ABPDN
• Marianela Aviles Rodriguez, LND
• Kathelynn Janesse Aviles Wetherell
• Yanira Aviles-Burgos, M.D.

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.