Jose L Avila MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME77537 Issued in FL

Legal business name

JOSE L AVILA MD PA

Practice address

1380 NE Miami Gardens Dr
Suite 132
N Miami Beach, FL 33179-4707

Phone

(305) 956-7755

Fax

(305) 956-5688

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Avila, MD

Title

Owner/Pres

Phone

(305) 956-7755

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1225080039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 TAMARIND DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096541",
            "telephone_number": "305-956-7755",
            "fax_number": "305-956-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "SUITE 132",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-956-7755",
            "fax_number": "305-956-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L AVILA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "305-956-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257282600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in N Miami Beach, FL
• Providers in N Miami Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.