Axis of Symmetry

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AXIS OF SYMMETRY

Practice address

985 Carr 644
1101 Candominio Las Mesas
Mayaguez, PR 00680

Phone

(787) 354-2105

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Juliana L. Cadiz Blackman, PT

Title

Owner

Phone

(787) 354-2105

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1417627373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 18089",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789398",
            "telephone_number": "787-354-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 CARR 644",
            "address_2": "1101 CANDOMINIO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-354-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS OF SYMMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "CADIZ BLACKMAN",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-354-2105",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus M Aviles-Caraballo, MD, MLS
• Alan Jose Aviles, MD
• Deborah Aviles, SOCIAL WORK
• Miligsa Aviles, M.D.
• Rosa Iris Aviles
• Ayala Preventive Medicine PSC
• Marcos A. Ayala Rivera, M.D.
• Exxon Ayala
• Mariel Angelie Ayala, DMD
• Arelys Angelica Aymat, MA

• Multi-Specialty Clinic/Center in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.