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NPI Code Detail

MEDICARE: DR. FERNANDO JOSE AVILES MD

MEDICARE: DR. FERNANDO JOSE AVILES MD
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
1146D00000XPersonal Emergency Response AttendantN7210TX
2261QP2300XPrimary Care Clinic/CenterN7210TX
3207Q00000XFamily Medicine PhysicianN7210TX

General Provider Information

NPI Number : 1255531992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERNANDO JOSE AVILES MD
Provider Business Mailing Address
First Line : 1387 GEORGE DIETER DR STE 106-D
Second Line :
City : EL PASO
State : TX
Zip : 79936-7410
Country : US
Telephone Number : 915-581-0712
Fax Number :
Provider Business Practice Location Address
First Line : 820 E REDD RD BLDG B
Second Line :
City : EL PASO
State : TX
Zip : 79912-7275
Country : US
Telephone Number : 915-581-0712
Fax Number : 915-533-8680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 08/14/2025

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