Maydelis Avila

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

5590 W 20TH Ave Ste 404
Hialeah, FL 33016-7062

Phone

(786) 344-1199

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Alma Community Center Inc

  • Community/Behavioral Health Agency
  • Hialeah, FL
  • NPI 1770177289
  NPD Authorized official

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1447843040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 W 20TH AVE STE 404",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167062",
            "telephone_number": "786-344-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 W 20TH AVE STE 404",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167062",
            "telephone_number": "786-344-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MAYDELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elianny Avila
• Jennifer Avila
• Jessielynn Avila, DPT
• Magaly Soledad Avila, BAHEIVOR TECHNICIAN
• Maily Avila
• Michelle Avila, LCSW
• Nery Avila, ARNP, NP-C
• Rosa Maria Avila, APRN
• Sara Avila
• Yanirys Avila

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.