Organization
AYALA PREVENTIVE MEDICINE PSC
Active
Organization
AYALA PREVENTIVE MEDICINE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS A AYALA RIVERA MD (PRESIDENT)
(787) 833-5235
Entity
Organization
Contact information
Practice address
167 CALLE RAMOS ANTONINI E, MAYAGUEZ, PR 00680-5039
(787) 833-5235
(787) 831-1790
Mailing address
PO BOX 1568, MAYAGUEZ, PR 00681-1568
(787) 833-5235
(787) 831-1790
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6806
PR
Other
Enumeration date
01/19/2011
Last updated
07/29/2011
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