Provider Demographics
NPI:1346825536
Name:AVILES, MARIA LEONOR
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LEONOR
Last Name:AVILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CALLE MANUEL F PAVIA ESQ AVE FERNANDEZ JUNCOS
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-496-0818
Mailing Address - Fax:787-982-6464
Practice Address - Street 1:700 CALLE MANUEL F PAVIA ESQ AVE FERNANDEZ JUNCOS
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-496-0818
Practice Address - Fax:787-982-6464
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other