MEDICARE: MARIA E. AVILEZ 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
1	207Q00000X	Family Medicine Physician	28719	AZ

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	:	1730126756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA E. AVILEZ MD

Provider Business Mailing Address
First Line	:	3033 N CENTRAL AVE STE 145
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2808
Country	:	US
Telephone Number	:	623-583-3001
Fax Number	:	623-974-6721

Provider Business Practice Location Address
First Line	:	15525 N 83RD AVE STE 104
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-5820
Country	:	US
Telephone Number	:	480-964-2273
Fax Number	:	623-505-3272

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	09/29/2025

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Directions to “ MARIA E. AVILEZ MD” Practice Location

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