Healthcare Provider Details

I. General information

NPI: 1285567446
Provider Name (Legal Business Name): MONICA ALEXANDRA AYORA-CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 MILL ST BLDG B
EAST BERLIN CT
06023-1159
US

IV. Provider business mailing address

1224 MILL ST BLDG B
EAST BERLIN CT
06023-1159
US

V. Phone/Fax

Practice location:
  • Phone: 203-715-0977
  • Fax:
Mailing address:
  • Phone: 203-715-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: