Active NPI
Ailyn Avila Portal, DMD
- Dentist
- Miami, FL
National Provider Identifier
1245963834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN27041
- Practice address
- 2340 Coral Way
Miami, FL 33145-3511 - Phone
- (305) 856-1178
- NPI assigned
- Jul 1, 2022
- Last updated
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN27041 | FL | Primary |
Addresses
Primary practice location
2340 Coral Way
Miami, FL 33145-3511
Mailing address
3301 NE 1St Ave Apt H1401
Miami, FL 33137-4262
Phone (305) 801-5277
Other practice location 1
9200 113th St N
Seminole, FL 33772-2800
Phone (727) 893-5050
Other practice location 2
255 SE 14th St Ste 200
Fort Lauderdale, FL 33316-1852
Phone (754) 354-0363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN27041 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1245963834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 NE 1ST AVE APT H1401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331374262",
"telephone_number": "305-801-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 CORAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453511",
"telephone_number": "305-856-1178"
}
],
"practiceLocations": [
{
"address_1": "9200 113th St N",
"address_purpose": "LOCATION",
"city": "Seminole",
"state": "FL",
"postal_code": "337722800",
"country_code": "US",
"telephone_number": "727-893-5050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "255 SE 14th St Ste 200",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333161852",
"country_code": "US",
"telephone_number": "754-354-0363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVILA PORTAL",
"first_name": "AILYN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.