Healthcare Provider Details

I. General information

NPI: 1972413599
Provider Name (Legal Business Name): ALANYS ANNED AVILES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 2 KM. 124.2 BO. CORRALES
AGUADILLA PR
00603-0000
US

IV. Provider business mailing address

PARC. PUNTA PALMAS 171 CALLE PUERTO
BARCELONETA PR
00617-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-461-7285
  • Fax:
Mailing address:
  • Phone: 939-304-4883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1715
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: