Individual
DR. ALFREDO AYALA MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVENIDA DE DIEGO 150, SAN JUAN HEALTH CENTRE SUITE 201, SAN JUAN, PR 00907
(787) 230-7557
Mailing address
CAMINO DE LOS COHITRES #102, SABANERA DORADO, DORADO, PR 00646
(787) 287-1921
(787) 869-6611
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7230
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17230
MCS
—
01
—
2683A
PREFERRED MEDICAL OFFICE
—
01
—
28721
SSS
—
01
—
400054
MMM
—
01
—
660452859
CASUI
—
01
—
7190017
HURNMA
—
01
—
M000240
H MENONITA
—
Enumeration date
04/13/2006
Last updated
10/11/2019
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