Provider Demographics
NPI:1861860512
Name:AYALA, KARLA (RN BSN)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:AYALA
Suffix:
Gender:F
Credentials:RN BSN
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:140 AVE LAS CUMBRES STE 106
Mailing Address - Street 2:GUAYNABO MEDICAL MALL
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5525
Mailing Address - Country:US
Mailing Address - Phone:787-710-2532
Mailing Address - Fax:787-708-2260
Practice Address - Street 1:140 AVE LAS CUMBRES SUITE 106
Practice Address - Street 2:GUAYNABO MEDICAL MALL
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-710-2532
Practice Address - Fax:787-708-2260
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR35986G163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse