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NPI Code Detail

MEDICARE: DR. JOSE G AYALA M.D.

MEDICARE:  DR. JOSE G AYALA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician19850PR

General Provider Information

NPI Number : 1184934234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE G AYALA M.D.
Provider Business Mailing Address
First Line : CALLE 35
Second Line : ZD-43, URBANIZACION RIVERVIEW
City : BAYAMON
State : PR
Zip : 00961
Country : US
Telephone Number : 787-226-8490
Fax Number :
Provider Business Practice Location Address
First Line : PR 3 KM 8 CII 3
Second Line :
City : CAROLINA
State : PR
Zip : 00984
Country : US
Telephone Number : 787-757-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 01/18/2026

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