Provider Demographics
NPI:1457344509
Name:RAMOS AYALA, JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:RAMOS AYALA
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:CALLE PARANA 1716
Mailing Address - Street 2:EL CEREZAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3148
Mailing Address - Country:US
Mailing Address - Phone:787-766-2200
Mailing Address - Fax:787-766-8548
Practice Address - Street 1:CALLE PARANA 1716
Practice Address - Street 2:URB. EL CEREZAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3148
Practice Address - Country:US
Practice Address - Phone:787-766-2200
Practice Address - Fax:787-766-8548
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2016-05-17
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-04-07
Provider Licenses
StateLicense IDTaxonomies
PR11877207R00000X, 207UN0903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0903XAllopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88050Medicare ID - Type UnspecifiedMD PROVIDER
PRF52339Medicare UPIN