Organization Active NPI

Avila Health Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Doral, FL
National Provider Identifier
1518565498
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AVILA HEALTH GROUP LLC
Practice address
11402 NW 41St St Unit 206
Doral, FL 33178-4859
Phone
(305) 373-3424
Fax
(305) 373-3474
NPI assigned
Oct 13, 2020
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Yanet Avila, TCM'S SUPERVISORNPI 1063019438
Title
Owner
Phone
(305) 373-3424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

11402 NW 41St St Unit 206
Doral, FL 33178-4859

Mailing address

8323 NW 12TH St Ste 206
Doral, FL 33126-1840
Phone (305) 373-3424

Other practice location 1

8323 NW 12th St Ste 206
Doral, FL 33126-1840
Phone (305) 373-3424

Other names 1

  • AVILA HEALTH GROUP LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210803000117 FL Part B Supplier - Clinic/Group Practice 4880098565 Receives reassigned benefits from 13 practitioners
Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

11402 NW 41st St
Unit 206
Doral, FL 33178
Phone (305) 373-3424

8323 NW 12th St
Ste 206
Doral, FL 33126
Phone (305) 373-3424

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1518565498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323 NW 12TH ST STE 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261840",
            "telephone_number": "305-373-3424",
            "fax_number": "305-373-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 NW 41ST ST UNIT 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784859",
            "telephone_number": "305-373-3424",
            "fax_number": "305-373-3474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8323 NW 12th St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331261840",
            "country_code": "US",
            "telephone_number": "305-373-3424",
            "fax_number": "305-373-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVILA HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-373-3424",
        "authorized_official_credential": "TCM'S SUPERVISOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVILA HEALTH GROUP LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.