EILEEN MARIE AVILA


Address: Cond Marina I Calle Asisclo Soler, Apt.3703, Barceloenta, PR 00617
Phone: 9396444430

EILEEN MARIE AVILA (NPI# 1104240746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104240746
Entity Type Individual
Full Name EILEEN MARIE AVILA
Credential PSICOLOGA CLINICA
Practice Address Cond Marina I Calle Asisclo Soler
Apt.3703
Barceloenta
PR 00617
Mailing Address Cond Marina I
Apt. 3703
Barceloneta
PR 00617-2897
Practice Telephone 9396444430
Mailing Telephone 9396444430
Enumeration Date 2014-02-18
Last Update Date 2014-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
005385 PR Behavioral Health & Social Service Providers

Office Location

Street Address COND MARINA I CALLE ASISCLO SOLER
APT.3703
City BARCELOENTA
State PR
Zip Code 00617

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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City BARCELOENTA
Zip Code 00617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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