Individual
MR. MIGUEL ANGEL AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 324-4455
Mailing address
19721 NW 85TH AVE, HIALEAH, FL 33015-6911
(787) 955-1415
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5196000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
546
MIAMI VA HEALTH CARE SYSTEM
FL
Enumeration date
03/24/2011
Last updated
03/24/2011
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