Lourdes Gonzalez Aviles, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0084744 Issued in MD

Practice address

6103 Baltimore Ave Ste T1
Riverdale, MD 20737

Phone

(301) 277-2779

Fax

(301) 277-6947

NPI assigned

Jul 29, 2015

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Donald W. Wiczer, M.D., George M. Korengold, M.D., Vanessa M. Mayol

  • Pediatrics Physician
  • Potomac, MD
  • NPI 1003927146
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1538544754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 BALTIMORE AVE STE T1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371966",
            "telephone_number": "301-277-2779",
            "fax_number": "301-277-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 BALTIMORE AVE STE T1",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "20737",
            "telephone_number": "301-277-2779",
            "fax_number": "301-277-6947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 7th St NW Apt 915",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200015182",
            "country_code": "US",
            "telephone_number": "423-596-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ AVILES",
        "first_name": "LOURDES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0084744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binnur Genc
• Reva Gill, MD
• Tifuh Glory Tenya
• Asaah Godlove
• Gofan Healthcare Service LLC
• Paul Goodman
• Ekop Graham, FNP
• Jinmee Graham, ND, MPH
• Kimberly M Green, CSC-AD, RAC
• Benita Ceceilia Griffin, SLP.D., CCC-SLP

• Pediatrics Physician in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.