Active NPI
Coralis Aviles Portalatin
- Pharmacist
- Guaynabo, PR
National Provider Identifier
1477295202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8304
- Practice address
- 35 Calle Juan C Borbon Ste 77
Df02400-0
Guaynabo, PR 00969 - Phone
- (787) 287-3725
- Fax
- (787) 287-3711
- NPI assigned
- Apr 12, 2022
- Last updated
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8304 | PR | Primary |
Addresses
Primary practice location
35 Calle Juan C Borbon Ste 77
Df02400-0
Guaynabo, PR 00969
Mailing address
PO Box 1467
Sabana Hoyos, PR 00688-1467
Phone (787) 205-2026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8304 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1477295202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1467",
"city": "SABANA HOYOS",
"state": "PR",
"postal_code": "006881467",
"telephone_number": "787-205-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CALLE JUAN C BORBON STE 77",
"address_2": "DF02400-0",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-287-3725",
"fax_number": "787-287-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES PORTALATIN",
"first_name": "CORALIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "8304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
- Ashby Services Inc.
- Atlantis Health Care Group Puerto Rico Inc (Renal Center of Guaynabo)
- Atlantis Health Care Group Puerto Rico, Inc. (The Renal Centre of Guaynabo II)
- Fabian Aurignac, M.D.
- Sila M Aviles Otero, PHARMD
- Christian Julian Aviles-Robles, MD
- Horacio Ayala Ortiz, 1068B
- Karla Ayala, RN BSN
- Maira Ayala, M.D.
- Noe N Ayala, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.