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Individual
DR. MARTIN AVILES
Active
Individual
DR. MARTIN AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13467R
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
13467R MD
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1428809
—
LA
01
—
1679645071
CORPORATE NPI #
LA
01
—
174400000X
INDIVIDUAL TAXONOMY#
LA
01
—
261QM2500X
CORPORATE TAXONOMY CODE
LA
01
—
28119
CDS#
—
01
—
DT5115
MEDICARE RAILROAD GROUP PTAN#
LA
01
—
MD.13467R
LA STATE MEDICAL EXAMINERS
LA
01
—
P01153535
MEDICARE RAILROAD PTAN
LA
Enumeration date
06/17/2005
Last updated
03/07/2023
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