| Ayala Preventive Medicine Psc | |
|
167 Calle Ramos Antonini E Mayaguez PR 00680-5039 | |
| (787) 833-5235 | |
| (787) 831-1790 |
| Full Name | Ayala Preventive Medicine Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 167 Calle Ramos Antonini E, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Marcos A Ayala Rivera (PRESIDENT) |
| Authorized Official Contact | 7878335235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayala Preventive Medicine Psc Po Box 1568 Mayaguez PR 00681-1568 Ph: (787) 833-5235 | Ayala Preventive Medicine Psc 167 Calle Ramos Antonini E Mayaguez PR 00680-5039 Ph: (787) 833-5235 |
| NPI Number | 1255636437 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 07/29/2011 |
| Medicare PECOS PAC ID | 8527238112 |
|---|---|
| Medicare Enrollment ID | O20110909002738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255636437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6806 (Puerto Rico) | Primary |
| Provider Name | Marcos A Ayala Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194772640 PECOS PAC ID: 0345309316 Enrollment ID: I20081105000428 |
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