Individual
JOSE LUIS AYALA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HIMA SAN PABLO, 100 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725
(787) 653-3434
Mailing address
PO BOX 7901, CAGUAS, PR 00726-7901
(787) 653-3434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22342
PR
208D00000X
General Practice Physician
22342
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22342
PUERTO RICO MEDICAL DISCIPLINE AND LICENSURE BOARD
PR
Enumeration date
01/04/2018
Last updated
06/21/2023
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