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 |
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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 |
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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 |
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Provider Enumeration Date | 01/19/2011 |
Last Update Date | 07/29/2011 |
Medicare PECOS PAC ID | 8527238112 |
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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 |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1194772640 PECOS PAC ID: 0345309316 Enrollment ID: I20081105000428 |
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