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General NPI Number Information
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NPI Number | 1316908007
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Entity Type | Individual
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Provider Name | KENNETH RIVERA AYALA MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2201 CARR 14 APT 33303 COND LA ALBORADA
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City | COTO LAUREL
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State | PR
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Zip | 00780-2327
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Country | US
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Telephone | 787-630-0959
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 CARR 14 APT 33303
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City | COTO LAUREL
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State | PR
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Zip | 00780-2327
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Country | US
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Telephone | 787-630-0959
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 12788
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License Number State | PR
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