Mr Alfredo Jose Gotera Avila, SA-C - Physician Assistant in St Petersburg, FL

Mr Alfredo Jose Gotera Avila, SA-C is a Physician Assistant based in St Petersburg, Florida. Mr Alfredo Jose Gotera Avila is licensed to practice in Florida (license number 18-182) and his current practice location is 871 Ibis Walk Pl N Unit 3204, St Petersburg, Florida. He can be reached at his office (for appointments etc.) via phone at (407) 820-2693.

NPI number for Mr Alfredo Jose Gotera Avila is 1205328978 and his current mailing address is 871 Ibis Walk Pl N Unit 3204, St Petersburg, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205328978.

Contact Information

Mr Alfredo Jose Gotera Avila, SA-C
871 Ibis Walk Pl N Unit 3204,
St Petersburg, FL 33716-3857
(407) 820-2693
Not Available

Map and Direction




Provider's Profile

Full NameMr Alfredo Jose Gotera Avila
GenderMale
SpecialityPhysician Assistant
Location871 Ibis Walk Pl N Unit 3204, St Petersburg, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205328978
  • Provider Enumeration Date: 05/30/2018
  • Last Update Date: 03/24/2020

Medical Identifiers

Medical identifiers for Mr Alfredo Jose Gotera Avila such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205328978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 18-182 (Florida)Primary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 18-182 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alfredo Jose Gotera Avila is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Alfredo Jose Gotera Avila, SA-C
871 Ibis Walk Pl N Unit 3204,
St Petersburg, FL 33716-3857

Ph: (407) 820-2693
Mr Alfredo Jose Gotera Avila, SA-C
871 Ibis Walk Pl N Unit 3204,
St Petersburg, FL 33716-3857

Ph: (407) 820-2693

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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