| Raul Ernesto Ayala, MD | |
|
10508 Gibsonton Dr, Riverview, FL 33569-5434 | |
| (813) 741-2100 | |
| (813) 741-2003 |
| Full Name | Raul Ernesto Ayala |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 10508 Gibsonton Dr, Riverview, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710970710 | NPI | - | NPPES |
| 002218500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME79510 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cano Health, Llc | 1759565047 | 190 |
| Entity Name | Cano Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Ernesto Ayala, MD 10508 Gibsonton Dr, Riverview, FL 33578-5434 Ph: (813) 741-2100 | Raul Ernesto Ayala, MD 10508 Gibsonton Dr, Riverview, FL 33569-5434 Ph: (813) 741-2100 |
Dr. Jaime R. Gierbolini, M. D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 10141 Big Bend Rd Ste 206, Riverview, FL 33578 Phone: 813-397-1274 Fax: 813-605-6003 | |
Kristina Mabel Nieves Quinones, MD General Practice Medicare: Medicare Enrolled Practice Location: 9088 Progress Blvd, Riverview, FL 33578 Phone: 813-444-0220 Fax: 813-367-1961 | |
Maria Aurora Campa Huergo, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 813-741-2100 Fax: 813-741-2003 | |
Jorge Mario Gomez Bustamante, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 855-226-6633 | |
Dr. Enrique Jose De La Cruz Hernandez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 13045 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-672-1385 Fax: 813-672-8904 | |
Dr. Melissa Dawn Fickey, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6332 Us Highway 301 S, Riverview, FL 33578 Phone: 813-662-5919 Fax: 813-671-8374 |