Healthcare Provider Details

I. General information

NPI: 1992443337
Provider Name (Legal Business Name): FRANCES N RIVERA AVILES DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2022
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 199 KM 1.3 L-B LOS FRAILES PROFESSIONAL HOSPITAL SUITE 303 TORRE MEDICA
GUAYNABO PR
00969-4818
US

IV. Provider business mailing address

58 CALLE NOBLE
SAN JUAN PR
00926-8808
US

V. Phone/Fax

Practice location:
  • Phone: 787-287-6245
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0119
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: