Provider Demographics
NPI:1245536069
Name:AYALA, RUTH B (RPH)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:B
Last Name:AYALA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 AVE ARTERIAL HOSTOS APT 257
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2996
Mailing Address - Country:US
Mailing Address - Phone:787-365-7279
Mailing Address - Fax:
Practice Address - Street 1:155 AVE ARTERIAL HOSTOS APT 257
Practice Address - Street 2:GOLDEN COURT II CONDO.
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2996
Practice Address - Country:US
Practice Address - Phone:787-365-7279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2753183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy