Individual provider Active NPI

Xavier Antonio Aviles, MD

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1790701597
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME115863 Issued in FL
Practice address
2525 SW 75TH Ave
Miami, FL 33155-2800
Phone
(305) 260-1852
Fax
(305) 265-4824
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME115863 FL Primary

Addresses

Primary practice location

2525 SW 75TH Ave
Miami, FL 33155-2800

Mailing address

2525 SW 75TH Ave
Miami, FL 33155-2800
Phone (305) 260-1852

Other identifiers 1

IdentifierTypeStateIssuer
02020515MedicaidNY

Other names 1

  • Dr. Xavier A Aviles Guzman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115863FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Trauma Institute PastSince Sep 19, 2015 Accepting new patients
Premier Orthopaedics &Sports Medicine,PC Physical Medicine & Rehabilitation PastSince Apr 1, 2001 Accepting new patients

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1790701597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552800",
            "telephone_number": "305-260-1852",
            "fax_number": "305-265-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552800",
            "telephone_number": "305-260-1852",
            "fax_number": "305-265-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "XAVIER",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME115863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02020515",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XAVIER",
            "last_name": "AVILES GUZMAN",
            "middle_name": "A",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.