Provider Demographics
NPI:1518369925
Name:GARCIA-AYALA, MARIA EUGENIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:EUGENIA
Last Name:GARCIA-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 1:200 AVE WINSTON CHURCHILL # OFIC104
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6651
Mailing Address - Country:US
Mailing Address - Phone:787-235-5969
Mailing Address - Fax:
Practice Address - Street 1:200 AVE WINSTON CHURCHILL # OFIC104
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6651
Practice Address - Country:US
Practice Address - Phone:787-235-5969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR213952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology