Individual
AMAURY O AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1739 CARR 8838, SAN JUAN, PR 00926-2741
(787) 299-9863
Mailing address
713 CALLE ASTER, SAN JUAN, PR 00926-4817
(787) 299-9863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0966
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4380678
DRIVER LICENSE
PR
Enumeration date
06/12/2020
Last updated
06/12/2020
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