| NPI | 1528640448 |
|---|---|
| Other Name | JOSE L AYALA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PR 00945) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 023570) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-11-27 |