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JOSE AVILA ORNELAS MD
NPI 1467868927
Psychiatry & Neurology - Neurology in Caguas, PR

Active since July 06, 2014PECOS EnrolledAccepts Medicare Assignment
HIMA PLAZA 1 AVE DEGETAU SUITE 308-311, CAGUAS, PR 00725(787) 930-1705 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2023, Aug 10, 2018 (2 updates tracked since 2018).

About Jose Avila Ornelas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE AVILA ORNELAS MD (NPI 1467868927) is an individual neurology provider in Caguas, Puerto Rico, licensed in Puerto Rico (19904) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Juan, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1467868927
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOSE AVILA ORNELASCredential: MD
Location AddressHIMA PLAZA 1 AVE DEGETAU SUITE 308-311Caguas, PR 00725-7303
Mailing Address718 Calle Fray A MarchenaSan Juan, PR 00926-7727 · (787) 754-0101
Phone(787) 930-1705
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 6, 2014
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1467868927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PR · 19904
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Secondary Practice Location 1

Location 1University District Hospital, PUERTO RICO MEDICAL CENTER, BO MONACILLOSSan Juan, PR 00935 · Phone (787) 754-0101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Avila Ornelas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183967334
PECOS Enrollment IDI20190510000906
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jose Avila Ornelas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Menonita Caguas Inc
Specialist
CARRETERA 172 SALIDA 21 CAGUAS A CIDRA
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 85 clinicians in this Medicare group
NPI 1295327625 (787) 434-1700
Mennonite General Hospital Inc
Specialist
CALLE JOSE C VAZQUEZ, BO CAONILLAS
Aibonito, PR 00705
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 205 clinicians in this Medicare group
NPI 1043347768 (787) 535-1001
Puerto Rico Multiple Sclerosis Center LLC
Neurology
500 AVE DEGETAU HIMA PLAZA 1, SUITE 308 PISO 3
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1487354841 (787) 474-7678
Recinto De Ciencias Medicas
Neurology
AVE. AMERICO MIRANDA CENTRO MEDICO DE PR EDIF PRINCIPAL, ESCUELA DE MEDICINA APTDO. 29134
San Juan, PR 00929
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 27 clinicians in this Medicare group
NPI 1225113228 (787) 758-2525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Avila Ornelas's NPI number?

The NPI number for Jose Avila Ornelas is 1467868927. It was assigned to this individual provider in the NPPES registry on July 6, 2014.

Where is Jose Avila Ornelas located?

Jose Avila Ornelas practices at Hima Plaza 1 Ave Degetau Suite 308-311, Caguas, PR 00725. The listed phone number is (787) 930-1705.

What is Jose Avila Ornelas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jose Avila Ornelas enrolled in Medicare?

Yes. Jose Avila Ornelas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jose Avila Ornelas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Avila Ornelas reassigns Medicare benefits to 4 organizations: Hospital Menonita Caguas Inc (Caguas, PR), Mennonite General Hospital Inc (Aibonito, PR), Puerto Rico Multiple Sclerosis Center LLC (Caguas, PR) and Recinto De Ciencias Medicas (San Juan, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Avila Ornelas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Avila Ornelas was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.