Provider Demographics
NPI:1699212175
Name:RAYA, JUAN ANTONIO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:ANTONIO
Last Name:RAYA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2364 BLVD LUIS A FERRE
Mailing Address - Street 2:COND. UNIVERSITY SUITES APARTMENT 602
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0753
Mailing Address - Country:US
Mailing Address - Phone:917-523-5909
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 728, CALLE JOSE C. VAZQUEZ,
Practice Address - Street 2:HOSPITAL GENERAL MENONITA DE AIBONITO DEPARTAMENTO DE
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:917-523-5909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR19547208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice