Individual provider Active NPI

Rosario Medina Aviles

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palm City, FL
National Provider Identifier
1841475944
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 12751 Issued in FL
Practice address
870 SW Martin Downs Blvd
Suite 2
Palm City, FL 34990-2855
Phone
(772) 287-8181
Fax
(772) 287-3797
NPI assigned
Jan 8, 2008
Last updated
May 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 12751 FL Primary

Addresses

Primary practice location

870 SW Martin Downs Blvd
Suite 2
Palm City, FL 34990-2855

Mailing address

870 SW Martin Downs Blvd
Suite 2
Palm City, FL 34990-2855
Phone (772) 287-8181

Other names 1

  • Rosie Aviles Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 12751FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1841475944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SW MARTIN DOWNS BLVD",
            "address_2": "SUITE 2",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902855",
            "telephone_number": "772-287-8181",
            "fax_number": "772-287-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SW MARTIN DOWNS BLVD",
            "address_2": "SUITE 2",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902855",
            "telephone_number": "772-287-8181",
            "fax_number": "772-287-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "ROSARIO",
        "middle_name": "MEDINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 12751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSIE",
            "last_name": "AVILES",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.