Marcela Viviana Avila

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 122195 Issued in FL

Practice address

1601 SW Archer Rd
NF/SG VHS Grecc #182
Gainesville, FL 32608-1135

Phone

(352) 548-6000

Fax

(352) 271-4550

NPI assigned

Jun 19, 2012

Last updated

Mar 1, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1528321130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 NW 23RD BLVD",
            "address_2": "APT 213",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053080",
            "telephone_number": "925-325-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "address_2": "NF/SG VHS GRECC #182",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-548-6000",
            "fax_number": "352-271-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MARCELA",
        "middle_name": "VIVIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 122195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019557500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason A Avery, LMHC
• K. Leslie Avery, M.D.
• Wesli P Avidan
• Diego Avila Lessa Garcia, MD
• Daniela M Avila, DDS
• Anita Huerta Aviles, FNP
• Antoinette Avinger
• Gwendolyn M Avinger
• Daniel Avital
• Julie Knox Avizinis, PA-C

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.