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General NPI Number Information
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NPI Number | 1225083850
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Entity Type | Individual
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Provider Name | ROSANA AYALA REYES M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | VILLAS DE PARQUE ESCORIAL EDIFICIO G APARTA. 1501
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-628-1401
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Fax | 787-200-5747
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Provider Business Mailing Address
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Address Line | VILLAS DE PARQUE ESCORIAL EDIFICIO G APART. 1501
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-628-1404
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Fax | 787-200-5747
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16025
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License Number State | PR
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