Provider Demographics
NPI:1093710915
Name:AYALA, VELIA M (MD)
Entity Type:Individual
Prefix:
First Name:VELIA
Middle Name:M
Last Name:AYALA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:RR01 BOX 17123
Mailing Address - Street 2:TOA ALTA
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-786-1868
Mailing Address - Fax:787-780-8035
Practice Address - Street 1:3140 MAIN AVE
Practice Address - Street 2:SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-786-1868
Practice Address - Fax:787-780-8038
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PR10343207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0082633Medicare ID - Type UnspecifiedPROVIDER ID
PRF28769Medicare UPIN