Individual provider Active NPI

Marilu Avila, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1417513425
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002164 Issued in FL
Practice address
10632 SW 21St LN
Miami, FL 33165-7950
Phone
(786) 333-4312
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11002164 FL Primary

Addresses

Primary practice location

10632 SW 21St LN
Miami, FL 33165-7950

Mailing address

10632 SW 21St LN
Miami, FL 33165-7950
Phone (786) 333-4312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10632 SW 21St LN
Miami, FL 33165-7950

2472 SW 137TH Ave
Miami, FL 33175-6330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11002164FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Caridad Medical Center, Corp CurrentSince Sep 13, 2025 Accepting new patients

Locations

2472 SW 137th Ave
Miami, FL 33175
Phone (786) 631-5116

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1417513425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 SW 21ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657950",
            "telephone_number": "786-333-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 SW 21ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657950",
            "telephone_number": "786-333-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MARILU",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.