Provider Demographics
NPI:1265860225
Name:MONROY AVELLA, JORGE ENRIQUE (MD)
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:ENRIQUE
Last Name:MONROY AVELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714 REW CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-2990
Mailing Address - Country:US
Mailing Address - Phone:689-223-9756
Mailing Address - Fax:866-407-2128
Practice Address - Street 1:2714 REW CIR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2990
Practice Address - Country:US
Practice Address - Phone:689-234-9361
Practice Address - Fax:866-407-2128
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME138661208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice