| Ayala Diaz Health And Wellness Llc | |
|
150 Jose De Diego Ave San Juan Health Centre Suite 201 San Juan PR 00907 | |
| (787) 230-7557 | |
| Not Available |
| Full Name | Ayala Diaz Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Jose De Diego Ave, San Juan, Puerto Rico |
| Authorized Official Name and Position | Alfredo Ayala Diaz (OWNER) |
| Authorized Official Contact | 7874055703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayala Diaz Health And Wellness Llc F4 Via San Paolo Guaynabo PR 00969-6805 Ph: (787) 230-7557 | Ayala Diaz Health And Wellness Llc 150 Jose De Diego Ave San Juan Health Centre Suite 201 San Juan PR 00907 Ph: (787) 230-7557 |
| NPI Number | 1487497517 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 08/06/2024 |
| Medicare PECOS PAC ID | 7315485414 |
|---|---|
| Medicare Enrollment ID | O20240821000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487497517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Alfredo Ayala Diaz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518317692 PECOS PAC ID: 0941601140 Enrollment ID: I20210625000510 |
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