Individual provider Active NPI

Jannelys Aviles Aguilar, MD

  • General Practice Physician
  • Longwood, FL
National Provider Identifier
1639817620
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1426 Issued in FL
Practice address
587 E State Road 434 Unit 3037
Longwood, FL 32750-5256
Phone
(352) 935-1136
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1426 FL Primary

Addresses

Primary practice location

587 E State Road 434 Unit 3037
Longwood, FL 32750-5256

Mailing address

587 E State Road 434 Unit 3037
Longwood, FL 32750-5256
Phone (352) 935-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711001176 FL Practitioner - General Practice 5597145334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ar Health Clinics IncGroup PAC ID 5698297448, 2 clinicians

Practice addresses (Care Compare)

587 E State Rd
434 Unit 3037
Longwood, FL 32750-5256
Phone (352) 935-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1426FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Jul 1, 2022 Accepting new patients
Ar Health Clinics Inc General Practice CurrentSince Jul 1, 2025 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

587 E State Road 434
Unit 3037
Longwood, FL 32750
Phone (352) 935-1136

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

910 Old Camp Rd
Ste 130
The Villages, FL 32162
Phone (352) 326-5254

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHEHDD/Endpoint/FHEHDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1639817620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434 UNIT 3037",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505256",
            "telephone_number": "352-935-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434 UNIT 3037",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505256",
            "telephone_number": "352-935-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES AGUILAR",
        "first_name": "JANNELYS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "1426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.