Provider Demographics
NPI:1811254782
Name:COSME AYALA, YOHAIMI ESLIMENCHI (MD)
Entity type:Individual
Prefix:DR
First Name:YOHAIMI
Middle Name:ESLIMENCHI
Last Name:COSME 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 1:9780 QUAYE SIDE DR
Mailing Address - Street 2:UNIT 4-104
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5822
Mailing Address - Country:US
Mailing Address - Phone:915-667-2482
Mailing Address - Fax:
Practice Address - Street 1:3319 SR7
Practice Address - Street 2:SUITE 109
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:617-985-4375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286113208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics