Active NPI
Margarita Gonzalez Avila
- Speech-Language Pathologist
- Wellington, FL
National Provider Identifier
1982147211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 10158
- Practice address
- 10690 Pelican Dr
Wellington, FL 33414-6152 - Phone
- (850) 445-9470
- NPI assigned
- Nov 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 10158 | FL | Primary |
Addresses
Primary practice location
10690 Pelican Dr
Wellington, FL 33414-6152
Mailing address
10690 Pelican Dr
Wellington, FL 33414-6152
Phone (850) 445-9470
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA 10158 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1982147211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10690 PELICAN DR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146152",
"telephone_number": "850-445-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10690 PELICAN DR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146152",
"telephone_number": "850-445-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "MARGARITA",
"middle_name": "GONZALEZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 10158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.