Doctor Name: | AUGUSTO JOSE AYALA-CAMINERO |
NPI Number: | 1558797274 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 18582 |
Business Practice Address: | Encantada Plz Parque Del Rio, Via Del Rio # 41 Trujillo Alto, PR - 009766301 |
Business Phone Number: | 7875852411 |
Business Fax Number: | |
Mailing Address: | Via Del Rio # 41, Encantada, Parque Del Rio TRUJILLO ALTO |
State: | PR |
Postal Code: | 00976 |
Phone Number: | 7875852411 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2013 |
NPI Last Update Date: | 08/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |