Healthcare Provider Details

I. General information

NPI: 1821925926
Provider Name (Legal Business Name): JLA INTERNAL MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB RIVIERA PARKVIEW 37 CALLE YOSEMITE
BAYAMON PR
00959
US

IV. Provider business mailing address

URB RIVIERA PARKVIEW 37 CALLE YOSEMITE
BAYAMON PR
00959
US

V. Phone/Fax

Practice location:
  • Phone: 787-340-4167
  • Fax:
Mailing address:
  • Phone: 787-340-4167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE AYALA RIVERA
Title or Position: OWNER
Credential: MD
Phone: 787-340-4167