Provider Demographics
NPI:1821058777
Name:AYALA-ORTIZ, FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:AYALA-ORTIZ
Suffix:
Gender:M
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:HC 63
Mailing Address - Street 2:BOX 3366
Mailing Address - City:PATILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00723
Mailing Address - Country:US
Mailing Address - Phone:787-839-7177
Mailing Address - Fax:787-271-4961
Practice Address - Street 1:15B CALLE ALBERTO RICCI
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-839-7177
Practice Address - Fax:787-271-4961
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10393208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
201393OtherPREFERRED HEALTH
400023OtherMMM
4098OtherIMC
33421OtherASOCIACION DE MAESTROS
7230022OtherHUMANA CHOICE CARE
64881OtherCRUZ AZUL
4098OtherFIRST PLUS
1941OtherAMERICA HEALTH
M404OtherMENENITA
P00109985OtherMEDICARE RAILROAD
PG4947OtherPAN AMERICAN LIFE
7230022OtherHUMANA GOLD PLUS
PG4947OtherPAN AMERICAN LIFE
400023OtherMMM