Provider / Organization | NPI | Date Certified |
---|---|---|
CARLOS ANDRES AVILA MOLINA | 1114597341 | 2024-06-09 |
Carlos Andres Avila Molina is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114597341. Registration indicates Carlos Andres Avila Molina is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Carlos Andres Avila Molina MD |
Practice Office Address | 8901 CLEMENT AVE PARKVILLE, MD US |
Practice Office Telephone | 4106614670 |
Mailing Address | 8901 CLEMENT AVE PARKVILLE, MD 212342603 US |
Business Telephone | 4106614670 |
Address | City / State | Phone / Fax |
---|---|---|
206 2nd St E | Bradenton, FL 342081042 | 9417465111 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | D0100418
MD |