Provider Demographics
NPI:1871051334
Name:AERA LABORATORIES LLC
Entity type:Organization
Organization Name:AERA LABORATORIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-499-0066
Mailing Address - Street 1:1401 NW 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-2322
Mailing Address - Country:US
Mailing Address - Phone:813-816-8075
Mailing Address - Fax:
Practice Address - Street 1:1401 NW 17TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2322
Practice Address - Country:US
Practice Address - Phone:813-816-8075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center