Avila, Luis

Avila, Luis is an individual health care provider with primary practice located at 2710 Saint Francis Dr Suite 410, Waterloo IA 50702-5619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Avila, Luis can be contacted via phone (319) 272-5000.

Contact Information

Primary practice address
2710 Saint Francis Dr Suite 410 Waterloo IA 50702-5619
Phone: (319) 272-5000
Fax: (319) 272-5264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 33780 Iowa
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 33780 Iowa

Profile Details

NPI number 1053367169
LBN Legal business name Avila, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053367169 NPPES
Iowa MEDICAID 0258525

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