Provider Demographics
NPI:1225760283
Name:FLORES DE AYALA, ELSY YOLANDA
Entity Type:Individual
Prefix:
First Name:ELSY
Middle Name:YOLANDA
Last Name:FLORES DE AYALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 16TH ST NW APT 245
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6701
Mailing Address - Country:US
Mailing Address - Phone:202-469-9584
Mailing Address - Fax:
Practice Address - Street 1:1339 FORT STEVENS DR NW APT 116
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5042
Practice Address - Country:US
Practice Address - Phone:202-386-8612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant