Individual
HUMBERTO JAFET AYOROA SOSA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2Q RUTA 474, ISABELA, PR 00662-3900
(407) 844-1261
(787) 872-3721
Mailing address
PO BOX 1696, ISABELA, PR 00662-1696
(407) 844-1261
(787) 872-3721
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03960304
LICENSE
CT
Enumeration date
11/17/2020
Last updated
11/17/2020
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