Individual provider Active NPI

Rosa Taina Castro Avila, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1770690406
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14337 Issued in PR
Practice address
220 Ave. Condominio El Milenio
200 Apt 701
Carolina, PR 00982-2807
Phone
(787) 632-6317
NPI assigned
Aug 25, 2006
Last updated
Nov 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14337 PR Primary

Addresses

Primary practice location

220 Ave. Condominio El Milenio
200 Apt 701
Carolina, PR 00982-2807

Mailing address

Cond El Milenio 200 Calle 220
Apt 701
Carolina, PR 00982-2807
Phone (787) 632-6317

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital General San Carlos,Inc. Past Accepting new patients
Medicos Visitantes CSP Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225497600000",
    "number": "1770690406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND EL MILENIO 200 CALLE 220",
            "address_2": "APT 701",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822807",
            "telephone_number": "787-632-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 AVE. CONDOMINIO EL MILENIO",
            "address_2": "200 APT 701",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822807",
            "telephone_number": "787-632-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO AVILA",
        "first_name": "ROSA",
        "middle_name": "TAINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.