Active NPI
Jose Luis Avila Zaldivar, MD, SA-C
- Internal Medicine Physician
- South Miami, FL
National Provider Identifier
1255020947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- TRN42149
- Practice address
- 7031 SW 62ND Ave
South Miami, FL 33143-4701 - Phone
- (305) 284-7500
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 23338 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN42149 | FL | |
| Internal Medicine Physician | 207R00000X | TRN42149 | FL | Primary |
Addresses
Primary practice location
7031 SW 62ND Ave
South Miami, FL 33143-4701
Mailing address
2085 W 54TH St
Hialeah, FL 33016-2014
Phone (954) 914-5861
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Health Information Exchange (HIE) | Larkin Community Hospital |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23338 | WI | MD | Surgical Assistant |
| TRN42149 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1255020947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 W 54TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162014",
"telephone_number": "954-914-5861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7031 SW 62ND AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434701",
"telephone_number": "305-284-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA ZALDIVAR",
"first_name": "JOSE",
"middle_name": "LUIS",
"credential": "MD, SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "23338",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN42149",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN42149",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "Y",
"affiliationName": "Larkin Community Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "7031 SW 62nd Ave",
"city": "South Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331434701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.