Organization
DMRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO J AYALA RIOS M.D. (PRESIDENT)
(787) 370-6187
Entity
Organization
Contact information
Practice address
65 DE INFANTERIA #67, SUITE 104-109, ANASCO, PR 00610
(787) 826-2145
(787) 826-7411
Mailing address
PO BOX 1750, ANASCO, PR 00610-1750
(787) 342-4880
(787) 998-4880
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17640
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100686
MMM
PR
Enumeration date
12/05/2011
Last updated
09/15/2014
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