Active NPI
Raymond Vidal Aviles, DPM
- Podiatrist
- Ponce, PR
National Provider Identifier
1902896145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0096
- Practice address
- Edificio Marvesa 472 Ave Tito Castro
Suite 405
Ponce, PR 00716 - Phone
- (787) 848-6221
- Fax
- (787) 848-6221
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0096 | PR | Primary |
Addresses
Primary practice location
Edificio Marvesa 472 Ave Tito Castro
Suite 405
Ponce, PR 00716
Mailing address
PO Box 7575
Ponce, PR 00732-7575
Phone (787) 848-6221
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019001057 | PR | Practitioner - Podiatry | 3577756865 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
472 Ave Tito Castro
Suite 403 Edificio Marvesa
Ponce, PR 00716-4705
Phone (787) 848-6221
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1040 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96 | PR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1902896145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7575",
"city": "PONCE",
"state": "PR",
"postal_code": "007327575",
"telephone_number": "787-848-6221",
"fax_number": "787-848-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO MARVESA 472 AVE TITO CASTRO",
"address_2": "SUITE 405",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-848-6221",
"fax_number": "787-848-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDAL AVILES",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PR",
"license": "0096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.