Provider Demographics
NPI:1356077549
Name:AVILES, MARGARITA ELOISA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARITA
Middle Name:ELOISA
Last Name:AVILES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 SW 18TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2035
Mailing Address - Country:US
Mailing Address - Phone:305-846-0791
Mailing Address - Fax:
Practice Address - Street 1:2601 E OAKLAND PARK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1658
Practice Address - Country:US
Practice Address - Phone:954-228-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical