# DR. MARTIN AVILES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417952102
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 13467R | LA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 13467R MD | LA | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 03/07/2023

## 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 |