| Doctor Name: | MARITZA V. AVILES |
| NPI Number: | 1033366992 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | STA |
| License Number: | SI1084 |
| Business Practice Address: | 17900 Nw 5th St Suite 103 Pembroke Pines, FL - 330292808 |
| Business Phone Number: | 9544359905 |
| Business Fax Number: | 9544353769 |
| Mailing Address: | 17900 Nw 5th St, Suite 103 PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330292808 |
| Phone Number: | 9544359905 |
| Fax Number: | 9544353769 |
| NPI Enumeration Date: | 08/22/2008 |
| NPI Last Update Date: | 08/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | SI1084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |