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General NPI Number Information
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NPI Number | 1619055928
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Entity Type | Organization
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Legal Business Name | RUBEN J AYALA MD. PA
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 14283 SW 42 ST
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-226-1001
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Fax | 305-485-5529
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Provider Business Mailing Address
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Address Line | 14283 SW 42 ST
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-485-4494
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Fax | 305-485-5529
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Authorized Official
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Title or Position | OWNER
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Name | DR. RUBEN J AYALA
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Credential | MD. PA
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Telephone | 305-226-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 89052
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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