Carmen Avila, MT108134

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1719 N 23Rd St
McAllen, TX 78501-6119

Phone

(956) 739-9456

NPI assigned

Nov 16, 2021

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1841956513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WESTWAY AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016168",
            "telephone_number": "956-739-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016119",
            "telephone_number": "956-739-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "MT108134",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT108134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Avelino
• Stephanie Alondra Avendano, OD
• Kenneth A Averack, M.D.
• Avid Primary Home Care LLC
• Anyssa Irene Avila, M.S.
• Luz Margarita Avila, M.S., CCC/SLP
• Ricardo Avila, DPT
• Avision Rehab Services LLC (Prime Physical Therapy)
• Jan Garnet Echavez Aviso
• Avita Drugs, LLC (Avita Pharmacy)

• Specialist in McAllen, TX
• Providers in McAllen, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.