Jose Luis Avila, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME77537 Issued in FL

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 22, 2006

Last updated

Jul 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Jose L Avila MD PA

  • Family Medicine Physician
  • N Miami Beach, FL
  • NPI 1225080039
  Authorized official Same address or phone
• Healthline Balance Center Inc

  • Clinic/Center
  • North Miami Beach, FL
  • NPI 1588615348
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1275587123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "STE 132",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794744",
            "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": {
        "last_name": "AVILA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257282600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleman Driving Services Corp
• Alexander Rozenstein MD PA
• Martha L Alvarez, LMT
• Amavita Care Continuum PA
• Arthur L Anderson, AP
• Behuman Corp.
• Bem Healing Solutions LLC
• Ben-Nissan I Care Corp
• Meir Ben-Nissan, O.D.
• Sheeba Ben, MD

• 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 Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.