| Ruben J Ayala Md. Pa | |
|
14283 Sw 42 St Miami FL 33175 | |
| (305) 226-1001 | |
| (305) 485-5529 |
| Full Name | Ruben J Ayala Md. Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 14283 Sw 42 St, Miami, Florida |
| Authorized Official Name and Position | Ruben J Ayala (OWNER) |
| Authorized Official Contact | 3052261001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben J Ayala Md. Pa 14283 Sw 42 St Miami FL 33175 Ph: (305) 485-4494 | Ruben J Ayala Md. Pa 14283 Sw 42 St Miami FL 33175 Ph: (305) 226-1001 |
| NPI Number | 1619055928 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 09/13/2022 |
| Medicare PECOS PAC ID | 1658306915 |
|---|---|
| Medicare Enrollment ID | O20051005000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619055928 | NPI | - | NPPES |
| 274563100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 89052 (Florida) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ruben J Ayala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326012303 PECOS PAC ID: 5496722969 Enrollment ID: I20040914000666 |
| Provider Name | Teresa M Gongora-garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770805699 PECOS PAC ID: 8628255114 Enrollment ID: I20110609000653 |
| Provider Name | Delia T. Gongora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790185353 PECOS PAC ID: 3870807639 Enrollment ID: I20150806012397 |
| Provider Name | Ana Ivis Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093161275 PECOS PAC ID: 0345578258 Enrollment ID: I20190829002329 |
| Provider Name | Iraida Maria Acosta Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558995464 PECOS PAC ID: 8123457322 Enrollment ID: I20200409002687 |
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