Individual
JOSE A AYALA-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CT COMERCIAL BELLA VISTA, BELLA VISTA # 4, BAYAMON, PR 00956-0001
(787) 797-9022
Mailing address
CALLE FELIX DE AZAHARA #1046, COUNTRY CLUB, CAROLINA, PR 00924
(787) 797-9022
(787) 797-9022
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8609
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082276
MCA
—
01
—
060260
CA
—
01
—
0609
6HP
—
01
—
1187
IHC
—
01
—
201665
UTI
—
01
—
8-2276-AY
SSS
—
01
—
908609
MCS
—
01
—
9570010
HHP
—
01
—
M-0260
CA
—
01
—
P6-3542
PALI
—
Enumeration date
12/01/2005
Last updated
04/30/2008
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