| Organization Name: | DMRA LLC |
| NPI Number: | 1245508282 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTO J AYALA RIOS (PRESIDENT) |
| Mailing Address: | 65 De Infanteria #67 Suite 104-109 Anasco |
| State: | PR US |
| Postal Code: | 00610 |
| Phone Number: | 7878262145 |
| Fax Number: | 7878267411 |
| NPI Enumeration Date: | 12/05/2011 |
| NPI Last Update Date: | 09/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |