Provider Demographics
NPI:1093888703
Name:AYALA RIVERA, EUGENIA (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIA
Middle Name:
Last Name:AYALA RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4009
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00958-1009
Mailing Address - Country:US
Mailing Address - Phone:787-797-6767
Mailing Address - Fax:787-797-7744
Practice Address - Street 1:AVE CASTIGLIONI S4 BAYAMON GARDENS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-797-6767
Practice Address - Fax:787-797-6767
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8697208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics