MEDICARE: AILETH ROCIO AVILA CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	1118610	TX
2	163W00000X	Registered Nurse	RN306454	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255055364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AILETH ROCIO AVILA CNM

Provider Business Mailing Address
First Line	:	8300 FLOYD CURL DR FL 5-5A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3931
Country	:	US
Telephone Number	:	210-450-9500
Fax Number	:	210-450-6027

Provider Business Practice Location Address
First Line	:	8300 FLOYD CURL DR FL 5-5A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3931
Country	:	US
Telephone Number	:	210-450-9500
Fax Number	:	210-450-6027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	01/06/2026

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Directions to “ AILETH ROCIO AVILA CNM” Practice Location

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