Individual provider Active NPI

Maria Aviles

  • Family Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1174105886
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011606 Issued in FL
Practice address
2135 S Congress Ave
Palm Springs, FL 33406-7611
Phone
(561) 965-6333
NPI assigned
Apr 22, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011606 FL Primary

Addresses

Primary practice location

2135 S Congress Ave
Palm Springs, FL 33406-7611

Mailing address

2135 S Congress Ave Ste 4a
Palm Springs, FL 33406-7611
Phone (561) 965-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11011606FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hearts Family Medical Centers, LLC CurrentSince Jul 25, 2021 Accepting new patients
Premier Urgent Care Center, LLC CurrentSince Sep 3, 2021 Accepting new patients
Premier Physician Holdings, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

2135 S Congress Ave
Ste 4A
Palm Springs, FL 33406
Phone (561) 719-5085

1037 S State Road 7
Ste 113
Wellington, FL 33414

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1174105886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE STE 4A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-965-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-965-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.