Individual
DR. JUAN ALFREDO AYALA-HAEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 243-2020
Mailing address
6233 N UNIVERSITY DRIVE, TAMARAC, FL 33321-4022
(954) 721-0000
(954) 721-6308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME120847
FL
208600000X
Surgery Physician
R71638
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012474000
—
FL
Enumeration date
07/11/2009
Last updated
06/26/2017
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