Individual
EXXON AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE DR RAMON E BETANCES S, MAYAGUEZ, PR 00680-1729
(787) 831-2212
(787) 805-3875
Mailing address
HC01 BOX 9863, SAN GERMAN, PR 00683
(787) 849-4173
(787) 264-7171
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7295
PR
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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