Healthcare Provider Details

I. General information

NPI: 1295690402
Provider Name (Legal Business Name): BESSIE AYALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DR. PAUL TURNER DRIVE 1 DR. PAUL TURNER DRIVE
PAGO PAGO AS
96799
US

IV. Provider business mailing address

1 DR. PAUL TURNER DRIVE 1 DR. PAUL TURNER DRIVE
PAGO PAGO AS
96799
US

V. Phone/Fax

Practice location:
  • Phone: 684-633-1222
  • Fax:
Mailing address:
  • Phone: 684-633-1222
  • Fax: 684-633-1222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number6004A
License Number StateAS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: