Healthcare Provider Details

I. General information

NPI: 1366064115
Provider Name (Legal Business Name): YURINIA AVILA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13195 SW 134TH ST STE 101
MIAMI FL
33186-4585
US

IV. Provider business mailing address

13195 SW 134TH ST STE 101-103
MIAMI FL
33186-4499
US

V. Phone/Fax

Practice location:
  • Phone: 786-227-6830
  • Fax: 786-524-2413
Mailing address:
  • Phone: 832-944-9967
  • Fax: 786-524-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11034783
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCBHCMS.0101148
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9562909
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: