Organization · NPI-2

Alberto J Aviles MD, PLLC

Plastic Surgery · Southfield, MI

NPI number1609344175
StatusActive
Last updated in NPPESMar 16, 2022

Details

NPI
1609344175
Entity type
Organization (NPI-2)
Legal business name
Alberto J Aviles MD, PLLC
Organization subpart
No
Enumeration date
Nov 2, 2018
Certification date
Mar 16, 2022
Last updated
Mar 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery––Yes

Other names

  • Skyline Plastic Surgery (Doing Business As)

Practice location

29201 Telegraph Rd Ste 200
Southfield, MI 48034-7645

Phone 248-936-0067 · Fax 248-716-5955

Mailing address

29201 Telegraph Rd Ste 200
Southfield, MI 48034-7645

Phone 248-936-0067 · Fax 248-716-5955

Authorized official

Alberto Aviles
Medical Director
2489360067

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