Active NPI
Lourdes M Aviles-Rios, MD
- Student in an Organized Health Care Education/Training Program
- New Haven, CT
National Provider Identifier
1780985606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 20818
- Practice address
- 20 York Street
Yale-New Haven Hospital
New Haven, CT 06510 - Phone
- (787) 756-4020
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12,705-I | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 20818 | PR | Primary |
Addresses
Primary practice location
20 York Street
Yale-New Haven Hospital
New Haven, CT 06510
Mailing address
33 Cedar Street, 420 Lsog
Yale University School of Medicine Pediatric Department
New Haven, CT 06420-8064
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12,705-I | PR | MD | Pediatrics Physician |
| 20818 | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1780985606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CEDAR STREET, 420 LSOG",
"address_2": "YALE UNIVERSITY SCHOOL OF MEDICINE PEDIATRIC DEPARTMENT",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "064208064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK STREET",
"address_2": "YALE-NEW HAVEN HOSPITAL",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "787-756-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES-RIOS",
"first_name": "LOURDES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "12,705-I",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "20818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.