Rene J Aviles, DMD
Individual provider Active NPI General Practice Dentistry · Palm City, FL
NPI 1619081114 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1619081114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN14524 (FL)
- Practice address
- 870 SW Martin Downs Blvd Ste 1
Palm City, FL 34990-2855 - Phone
- (772) 283-6881
- Fax
- (772) 283-6362
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14524 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN14524 | FL | Yes |
Addresses
Primary practice location
870 SW Martin Downs Blvd Ste 1
Palm City, FL 34990-2855
Mailing address
870 SW Martin Downs Blvd Ste 1
Palm City, FL 34990-2855
Phone (772) 283-6881
Other providers in Palm City, FL
- Renee Armour-Florea
- Erin E Arrighi
- Shannon Atkins
- Atlantic Orthopedic Assoc PA
- Alanna Michele Avdoulos
- Rosario Medina Aviles
- Melissa Ayala
- Back in Action Medical Center LLC
- Back in Action Medical Center LLC
- Albrianna Baker
All providers in Palm City, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.