Provider Demographics
NPI:1407426976
Name:AYALA, REINA CARINA (MD)
Entity Type:Individual
Prefix:
First Name:REINA
Middle Name:CARINA
Last Name:AYALA
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 1:2400 S AVENUE A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7127
Mailing Address - Country:US
Mailing Address - Phone:928-336-7095
Mailing Address - Fax:
Practice Address - Street 1:2400 S 8TH AVENUE
Practice Address - Street 2:STE 200
Practice Address - City:YUMA
Practice Address - State:CA
Practice Address - Zip Code:85364
Practice Address - Country:US
Practice Address - Phone:928-336-7095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program