Individual provider Active NPI

Lylka Rios Aviles, OD

  • Optometrist
  • Naranjito, PR
National Provider Identifier
1730147927
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
459 Issued in PR
Practice address
615 Carr 152
Suite 14
Naranjito, PR 00719-3808
Phone
(787) 869-4242
Fax
(787) 869-2804
NPI assigned
May 4, 2006
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 459 PR Primary

Addresses

Primary practice location

615 Carr 152
Suite 14
Naranjito, PR 00719-3808

Mailing address

615 Carr 152
Suite 14
Naranjito, PR 00719-3808
Phone (787) 869-4242

Other identifiers 6

IdentifierTypeStateIssuer
215118OtherPRPREFERRED HEALTH
890296OtherPRMEDICARE Y MUCHO MAS
58166OtherPRTRIPLE S REFORMA
2200093OtherPRHUMANA REFORMA
7695OtherPRIMC (INT MED CARD)
077121OtherPRCRUZ AZUL DE PUERTO RICO

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000433 PR Practitioner - Optometry 6800984170 Practice locations: Naranjito, PR; Toa Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 167 KM
3 Plaza Los Palacios
Toa Alta, PR 00953
Phone (787) 730-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
459PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1730147927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CARR 152",
            "address_2": "SUITE 14",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193808",
            "telephone_number": "787-869-4242",
            "fax_number": "787-869-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CARR 152",
            "address_2": "SUITE 14",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193808",
            "telephone_number": "787-869-4242",
            "fax_number": "787-869-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS AVILES",
        "first_name": "LYLKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "215118",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "890296",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S REFORMA",
            "identifier": "58166",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA REFORMA",
            "identifier": "2200093",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC (INT MED CARD)",
            "identifier": "7695",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PUERTO RICO",
            "identifier": "077121",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.