Individual provider Active NPI

Yelitza Marie Avila Aguilar, LIC

  • Specialist
  • Arecibo, PR
National Provider Identifier
1689821563
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0950 Issued in PR
Practice address
HC 5 Box 94184
Arecibo, PR 00612-9625
Phone
(787) 872-8365
Fax
(787) 872-4111
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0950 PR Primary

Addresses

Primary practice location

HC 5 Box 94184
Arecibo, PR 00612-9625

Mailing address

HC5 Box 94184
Arecibo, PR 00662
Phone (787) 872-8365

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
955PRMDChiropractor
0950PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Adultos Y Ninos Con Impedimentos Inc PastSince Jun 21, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1689821563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC5 BOX 94184",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-8365",
            "fax_number": "787-872-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 94184",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129625",
            "telephone_number": "787-872-8365",
            "fax_number": "787-872-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA AGUILAR",
        "first_name": "YELITZA",
        "middle_name": "MARIE",
        "credential": "LIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "0950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.