NPIMap

Organization Active NPI

Puerto Rico Multiple Sclerosis Center LLC

  • Neurology Physician
  • Caguas, PR
National Provider Identifier
1487354841
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PUERTO RICO MULTIPLE SCLEROSIS CENTER LLC
Practice address
500 Ave Degetau Hima Plaza 1
Suite 308 Piso 3
Caguas, PR 00725-7303
Phone
(787) 474-7678
Fax
(787) 474-7680
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Jose Avila Ornelas, MDNPI 1467868927
Title
President
Phone
(787) 474-7678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

500 Ave Degetau Hima Plaza 1
Suite 308 Piso 3
Caguas, PR 00725-7303

Mailing address

500 Ave Degetau Hima Plaza I
Suite 308 Piso 3
Caguas, PR 00725-7303
Phone (787) 474-7678

Other names 1

  • Puerto Rico Multiple Sclerosis Center LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122001445 PR Part B Supplier - Clinic/Group Practice 2163874512 Receives reassigned benefits from 2 practitioners
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

500 Ave Degetau
Ste 308311
Caguas, PR 00725

500 Ave Degetau
Ste 308
Caguas, PR 00725
Phone (787) 474-7678

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1487354841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE DEGETAU HIMA PLAZA I",
            "address_2": "SUITE 308 PISO 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257303",
            "telephone_number": "787-474-7678",
            "fax_number": "787-474-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE DEGETAU HIMA PLAZA 1",
            "address_2": "SUITE 308 PISO 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257303",
            "telephone_number": "787-474-7678",
            "fax_number": "787-474-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO MULTIPLE SCLEROSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "AVILA ORNELAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-474-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puerto Rico Multiple Sclerosis Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Puerto Rico Multiple Sclerosis Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.