Andres R Avila, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17745 Issued in PR

Practice address

825 Calle 13 SW
Caparra Terrace
San Juan, PR 00921-2014

Phone

(787) 677-1041

NPI assigned

Sep 25, 2009

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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 Medico del Turabo Inc

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  General Practice, PR

  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1811221799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 13 S.O. #825",
            "address_2": "CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211304",
            "telephone_number": "787-677-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CALLE 13 SW",
            "address_2": "CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212014",
            "telephone_number": "787-677-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "ANDRES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Avezuela
• Yaimirex Avila Guerrero, PHL
• Tania Avila Lasalle, PHARM.D.
• Marviliz Avila Rodriguez, PH.D.
• Dyhalma Natacha Avila-Lopez, PHD
• Cesar Antonio Avila, PA
• Lynnette Avila, MD
• Teresita A. Aviles - Rodriguez, MD
• Aviles Burgos Medical Group & Hospitalist Services
• Kenneth Aviles Fernandez, MD

• All providers in San Juan, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.