Healthcare Provider Details

I. General information

NPI: 1043147622
Provider Name (Legal Business Name): GLORIA MARIA TORRES-AYALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

IV. Provider business mailing address

8300 NW 102ND AVE APT S-303
DORAL FL
33178-4775
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-0300
  • Fax:
Mailing address:
  • Phone: 787-242-9821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: