Organization Active NPI

Mario H. Avila, M.D.P.a.

  • Vascular Surgery Physician
  • Tamarac, FL
National Provider Identifier
1932406774
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MARIO H. AVILA, M.D.P.A.
Practice address
7707 N University Dr
Suite 101
Tamarac, FL 33321-2950
Phone
(954) 726-3606
Fax
(954) 726-7859
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. Mario H. Avila, M.D.
Title
President
Phone
(954) 726-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

7707 N University Dr
Suite 101
Tamarac, FL 33321-2950

Mailing address

7707 N University Dr
Suite 101
Tamarac, FL 33321-2950
Phone (954) 726-3606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1932406774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR",
            "address_2": "SUITE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212950",
            "telephone_number": "954-726-3606",
            "fax_number": "954-726-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR",
            "address_2": "SUITE 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212950",
            "telephone_number": "954-726-3606",
            "fax_number": "954-726-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO H. AVILA, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-726-3606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.