Healthcare Provider Details

I. General information

NPI: 1902725278
Provider Name (Legal Business Name): NORYMAR AYALA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MIRAFLORES PLZ
BAYAMON PR
00957-6707
US

IV. Provider business mailing address

MIRAFLORES PLZ
BAYAMON PR
00957-6707
US

V. Phone/Fax

Practice location:
  • Phone: 787-486-6272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1002686
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8609
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: