Healthcare Provider Details

I. General information

NPI: 1497679856
Provider Name (Legal Business Name): FRANCES YAMARY AVILES OTAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB LA MONSERRATE CALLE JUAN DE JESUS LOPEZ #38
JAYUYA PR
00664-1209
US

IV. Provider business mailing address

URB LA MONSERRATE CALLE JUAN DE JESUS LOPEZ #38
JAYUYA PR
00664-1209
US

V. Phone/Fax

Practice location:
  • Phone: 787-347-2383
  • Fax:
Mailing address:
  • Phone: 787-347-2383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1100
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: