Healthcare Provider Details
I. General information
NPI: 1447114590
Provider Name (Legal Business Name): DRA. FRANCES RIVERA AVILES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CIUDAD SENORIAL CALLE NOBLE E-5
SAN JUAN PR
00926
US
IV. Provider business mailing address
58 CALLE NOBLE CIUDAD SENORIAL
SAN JUAN PR
00926-8808
US
V. Phone/Fax
- Phone: 787-643-5258
- Fax:
- Phone: 787-643-5258
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCES
RIVERA AVILES
Title or Position: OWNER
Credential: DPM
Phone: 787-643-5258