Individual
DARIUS JOSE AYALA DIVINA
Active
Individual
DARIUS JOSE AYALA DIVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1135
SC
207X00000X
Orthopaedic Surgery Physician
Primary
2018-02770
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011356
—
SC
05
—
1366544843
—
NC
01
—
3255
MEDICARE PTAN FOR ABBEVILLE OFFICE
SC
Enumeration date
09/04/2006
Last updated
09/22/2022
Update your record
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