Luis Eduardo Aviles-Lopez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME59851 Issued in FL

Practice address

1454 Madison Ave W
Immokalee, FL 34142-2200

Phone

(239) 658-3011

Fax

(239) 658-3070

NPI assigned

Jul 25, 2007

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: luis.aviles-lopez.md.1@10865.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  Medicare reassignment NPD
• Collier Health Services, Inc

  dba Healthcare Network FHC Pharmacy

  • Community/Retail Pharmacy
  • Naples, FL
  • NPI 1609759091
  NPD
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1053526962
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1083421556
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1134331416
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1134334048

  Pediatrics

  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1194919993
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1235946716
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1376738690
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1417774332
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1477229755
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1508079245
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1891985032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3011",
            "fax_number": "239-658-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3011",
            "fax_number": "239-658-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES-LOPEZ",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD15467R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME59851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468134",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371593100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosannie Acevedo
• Amparo Barragon, DENTAL HYGIENIST
• Paul Beingolea
• Amelia Francine Bell-Hawkins, APRN-BC, CRNP-F
• Jennifer Bello
• Dawn M Bertram-Stewart, MD

• Pediatrics Physician in Immokalee, FL
• Providers in Immokalee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.