Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 10448R | LA |
Y | 2080P0210X | Pediatric Nephrologist | 10448R | LA |
NPI | 1538182548 |
---|---|
Provider Name | Diego H. Aviles |
First Address | New Orleans, LA 70118-5720 |
Second Address | New Orleans, LA 70118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 03/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00122248 | (05) | MS |
1989711 | (05) | LA |
F96330 | (02) | LA |