Marciano E Aviles, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

428 Issued in PR

Practice address

4100 Ave Arcadio Estrada
Ste 110 San Sebastian Office Building
San Sebastian, PR 00685-3216

Phone

(787) 896-1265

Fax

(787) 280-0171

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Centro Familiar de Servicios Dentales, CSP

  • Dentist
  • San Sebastian, PR
  • NPI 1669700506
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1801880950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850201",
            "telephone_number": "787-896-1265",
            "fax_number": "787-280-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 AVE ARCADIO ESTRADA",
            "address_2": "STE 110 SAN SEBASTIAN OFFICE BUILDING",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853216",
            "telephone_number": "787-896-1265",
            "fax_number": "787-280-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "MARCIANO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel E Arocho
• Yanitza Ivelisse Arocho, MD
• Arte Sanarte LLC
• Atlantis Health Care Group Puerto Rico, Inc.
• Cecilia Aviles
• Solmarie Aviles
• Antonio M Baez Moyeno, MD
• Emanuel J Barreto, MD
• Nekko Santino Batista
• Yanitza Ivette Batista

• All providers in San Sebastian, PR
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.