| Grupo Dental Ayala Del Rio Csp | |
|
M10 Ave. El Conquistador Valle Verde Suite 201 Fajardo PR 00738-3743 | |
| (787) 860-4223 | |
| (787) 863-6972 |
| Full Name | Grupo Dental Ayala Del Rio Csp |
|---|---|
| Speciality | Dentist |
| Location | M10 Ave. El Conquistador Valle Verde, Fajardo, Puerto Rico |
| Authorized Official Name and Position | Javier A Ayala (PRESIDENT) |
| Authorized Official Contact | 7878604223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo Dental Ayala Del Rio Csp Po Box 9150 Humacao PR 00792-9150 Ph: (787) 860-4223 | Grupo Dental Ayala Del Rio Csp M10 Ave. El Conquistador Valle Verde Suite 201 Fajardo PR 00738-3743 Ph: (787) 860-4223 |
| NPI Number | 1417009846 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 07/22/2020 |
| Medicare PECOS PAC ID | 7911321435 |
|---|---|
| Medicare Enrollment ID | O20200716002886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417009846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Javier A Ayala |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467459586 PECOS PAC ID: 1658673413 Enrollment ID: I20200716003434 |
Toro Especialistas En Ortodoncia, Csp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Fajardo Caribbean Cinemas, Suite 205, Fajardo, PR 00738 Phone: 787-860-7943 Fax: 787-860-7113 | |
Jrc Maxillofacial Services,psc Dental Clinic Medicare: Medicare Enrolled Practice Location: Garrido Morales 53, Fajardo, PR 00738 Phone: 787-863-2549 | |
Dra. Maricdali Santiago Torres Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: General Valero Avenue, 311, Fajardo, PR 00738 Phone: 787-860-4088 Fax: 787-863-2441 |