JULIAN MANUEL AVILES (NPI# 1144641259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144641259 |
Entity Type | Individual |
Full Name | JULIAN MANUEL AVILES |
Credential | M.D. |
Practice Address |
7819 Nw 228th St Raiford FL 32026-2601 |
Practice Telephone | 3864312018 |
Practice Fax Number | 3864312024 |
Mailing Telephone | 3864312018 |
Mailing Fax Number | 3864312024 |
Enumeration Date | 2013-12-17 |
Last Update Date | 2013-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ME 34238 | FL | Allopathic & Osteopathic Physicians |
Street Address |
7819 NW 228TH ST |
City | RAIFORD |
State | FL |
Zip Code | 32026-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952525040 | Consuelo Seachon Lim | Psychiatry & Neurology | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2007-04-12 |
1134555006 | Erika Biskie | Psychologist | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2013-09-23 |
1881026094 | Catrina Michelle Edwards | Licensed Practical Nurse | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2013-07-30 |
1952624355 | Muhammad I Akhtar | Family Medicine | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2010-03-12 |
1972731594 | Cecilia Cruz Trivino | Psychiatry & Neurology | 7819 Nw 228th St, Raiford, FL 32026-1050 | 2009-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508099946 | Chuong Thanh Le | General Practice | 7819 Nw 228th Street, Raiford, FL 32026 | 2009-09-02 |
1376925651 | Calinica Caudilla | Nurse Practitioner | Union Correctional Institution, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2015-06-23 |
1245660406 | Wilbur Bala | General Practice | Lawtey Correctional Institution, 7819 Nw 228 St., Raiford, FL 32026-0001 | 2013-11-25 |
1215130158 | Carmelita E Garcia | Psychiatry & Neurology | 7819n W 228th St, Raiford, FL 32026-0001 | 2007-06-07 |
1083828438 | Phil K Springer | Psychologist | Florida State Prison, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2007-05-09 |
1003352535 | Cecilia Ifeoma Ibe | Nurse Practitioner | 23916 Nw 83rd Avenue, Raiford, FL 32026-2648 | 2017-01-08 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245660406 | Wilbur Bala | General Practice | Lawtey Correctional Institution, 7819 Nw 228 St., Raiford, FL 32026-0001 | 2013-11-25 |
1508099946 | Chuong Thanh Le | General Practice | 7819 Nw 228th Street, Raiford, FL 32026 | 2009-09-02 |
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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.