Individual
JESUS RENATO QUISPE AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.H.S
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(667) 207-1295
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0089025
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
V6677
TX
Other
Enumeration date
07/21/2016
Last updated
08/14/2025
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