Avelino F. Millares, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0065947 Issued in FL

Legal business name

AVELINO F. MILLARES, MD, PA

Doing business as

Internal Medicine Center of Englewood

Practice address

356 S Indiana Ave
Englewood, FL 34223-3715

Phone

(941) 474-1042

Fax

(941) 475-6032

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Avelino Fermin Millares, M.D.NPI 1326059007

Title

Ceo

Phone

(941) 474-1042

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Internal Medicine Center of Englewood Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Avelino Fermin Millares, MD

  • Internal Medicine Physician
  • Englewood, FL
  • NPI 1326059007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1619227873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 S INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233715",
            "telephone_number": "941-474-1042",
            "fax_number": "941-475-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233715",
            "telephone_number": "941-474-1042",
            "fax_number": "941-475-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVELINO F. MILLARES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "MILLARES",
        "authorized_official_first_name": "AVELINO",
        "authorized_official_middle_name": "FERMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-474-1042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0065947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "26175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Center of Englewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffery A Arquette
• Margaret G Ashton, DOM
• Assisted Solutions, Inc.
• Danielle Aston
• Medjina Chimene Augustin
• Azov Dent Inc (Dental Excellence of Englewood)
• Cristina M Babiak, MD
• Iryna Babych, M.D.
• Carin M Ballard, RBT
• Anjelica Maria Barnhart

• Specialist in Englewood, FL
• Providers in Englewood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.