Active NPI
Miguel E Avila, ARPN
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1366027708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11012150
- Practice address
- 5040 NW 7TH St Ste 822
Miami, FL 33126-3435 - Phone
- (305) 260-6615
- Fax
- (305) 000-0000
- NPI assigned
- Mar 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11012150 | FL | Primary |
Addresses
Primary practice location
5040 NW 7TH St Ste 822
Miami, FL 33126-3435
Mailing address
1560 W 46TH St Apt 212
Hialeah, FL 33012-7132
Phone (305) 778-0668
Other practice location 1
564 SW 42nd Ave Fl 3
Coral Gables, FL 33134-1962
Phone (305) 209-1030
Other names 1
- Mr. Miguel E Avila
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 |
|---|---|---|---|
| 11012150 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1366027708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 W 46TH ST APT 212",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330127132",
"telephone_number": "305-778-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 NW 7TH ST STE 822",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263435",
"telephone_number": "305-260-6615",
"fax_number": "305-000-0000"
}
],
"practiceLocations": [
{
"address_1": "564 SW 42nd Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331341962",
"country_code": "US",
"telephone_number": "305-209-1030",
"fax_number": "305-857-5542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVILA",
"first_name": "MIGUEL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "ARPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-17",
"last_updated": "2021-06-30",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11012150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIGUEL",
"last_name": "AVILA",
"middle_name": "E",
"prefix": "MR.",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.