Individual provider Active NPI

Josselyn G Molina Avila, M.D.

  • Hematology & Oncology Physician
  • Fajardo, PR
National Provider Identifier
1962818872
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
19945 Issued in PR
Practice address
375 Ave General Valero Ste 105
Fajardo, PR 00738-4894
Phone
(787) 566-3099
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 19945 PR Primary

Addresses

Primary practice location

375 Ave General Valero Ste 105
Fajardo, PR 00738-4894

Mailing address

PO Box 149
Trujillo Alto, PR 00977-0149
Phone (787) 649-5679

Other practice location 1

Centro Medico Paseo Jose Celso Barbosa
Bo Monacillos
San Juan, PR 00935-0001
Phone (787) 565-8077

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
I20210929003774 PR Practitioner - Hematology/Oncology 0446657654 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 Calle Pavia
Suite 111
San Juan, PR 00909-2242
Phone (787) 649-5679

Hospital & facility affiliations

  • Hospital Oncologico Dr Isaac Gonzalez Martinez Hospital, San Juan, PR, CCN 400012
  • Caribbean Medical Center Hospital, Fajardo, PR, CCN 400131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19945PRMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RG Hematology Oncology PSC Hematology & Oncology CurrentSince Aug 18, 2021 Accepting new patients
Beyond Med Care LLC Hematology & Oncology PastSince Sep 21, 2025 Accepting new patients

Locations

611 Calle Pavia
Ste 111
San Juan, PR 00909
Phone (787) 649-5679

611 Calle Pavia
Ste 11
San Juan, PR 00909
Phone (787) 725-6381

Organizations & group practices 2

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 2

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1962818872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009770149",
            "telephone_number": "787-649-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 AVE GENERAL VALERO STE 105",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384894",
            "telephone_number": "787-566-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CENTRO MEDICO PASEO JOSE CELSO BARBOSA",
            "address_2": "BO MONACILLOS",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-565-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA AVILA",
        "first_name": "JOSSELYN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "19945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.