Individual provider Active NPI

Marisol Viera Avila, NP

  • Family Nurse Practitioner
  • Caguas, PR
National Provider Identifier
1497403828
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3858-PA Issued in PR
Practice address
HC 1 Box 20912
Caguas, PR 00725-8970
Phone
(787) 688-9192
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 74572 PR
Family Nurse Practitioner 363LF0000X 3858-PA PR Primary

Addresses

Primary practice location

HC 1 Box 20912
Caguas, PR 00725-8970

Mailing address

HC 1 Box 20912
Caguas, PR 00725-8970
Phone (787) 688-9192

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415004270 PR Practitioner - Nurse Practitioner 6901346352 Practice locations: Juncos, PR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 Calle Munoz Rivera
Juncos, PR 00777-3112
Phone (787) 688-9192

Calle Eucalipto C
2 Urb. Paseo de la Ceiba
Juncos, PR 00777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
74572PRMDGeneral Practice Registered Nurse
3858-PAPRMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1497403828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 20912",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258970",
            "telephone_number": "787-688-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 20912",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258970",
            "telephone_number": "787-688-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA AVILA",
        "first_name": "MARISOL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "74572",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "3858-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.