Individual provider Active NPI

Juan C Aviles, M.D.

  • Internal Medicine Physician
  • Rio Piedras, PR
National Provider Identifier
1922412972
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19510 Issued in PR
Practice address
Bo Monacillos
Centro Medico
Rio Piedras, PR 00936
Phone
(787) 766-2222
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31159-R PR
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 19510 PR Primary

Addresses

Primary practice location

Bo Monacillos
Centro Medico
Rio Piedras, PR 00936

Mailing address

Camino de Los Robles 296
Camino de Los Robles 296
Dorado, PR 00646
Phone (787) 505-2444

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509000382 PR Practitioner - Internal Medicine 0547547119 Reassigns benefits to 2 organizations
Practice locations: Dorado, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1519 Ave Ponce de Leon
Suite 720
San Juan, PR 00909-1718
Phone (939) 397-8881

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19510PRMDInternal Medicine Physician
31159-RPRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey CurrentSince Jun 8, 2019 Accepting new patients
Hospital Menonita de Cayey CurrentSince Jun 8, 2019 Accepting new patients
Fit Health PR LLC Internal Medicine CurrentSince Sep 26, 2025 Accepting new patients
Metro Santurce, Inc. Past Accepting new patients

Locations

1519 Ave Ponce de Leon
Ste 720
San Juan, PR 00909
Phone (939) 397-8881

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1922412972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMINO DE LOS ROBLES 296",
            "address_2": "CAMINO DE LOS ROBLES 296",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-505-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MONACILLOS",
            "address_2": "CENTRO MEDICO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-766-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "31159-R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.