Individual provider Active NPI

Miguel E Avila, ARPN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366027708
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012150 Issued in FL
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

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Professional name

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

LicenseStateTypeSpecialty
11012150FLMDFamily 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.

Verify at the official NPI Registry.