Individual provider Active NPI

Mariela Colon Aviles, LCSW

  • Clinical Social Worker
  • Cidra, PR
National Provider Identifier
1588453948
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17145 Issued in PR
Practice address
PO Box 1887
Cidra, PR 00739-1887
Phone
(787) 381-8408
NPI assigned
May 2, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17145 PR Primary

Addresses

Primary practice location

PO Box 1887
Cidra, PR 00739-1887

Mailing address

PO Box 1887
Cidra, PR 00739-1887
Phone (787) 381-8408

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415002070 PR Practitioner - Clinical Social Worker 9537635875 Practice locations: Comerio, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Munoz Rivera Edificio
Suite 3
Comerio, PR 00782-2587
Phone (787) 381-8408

PO Box
Suite 1887
Cidra, PR 00739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1588453948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391887",
            "telephone_number": "787-381-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391887",
            "telephone_number": "787-381-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON AVILES",
        "first_name": "MARIELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "17145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.