Raul Ayala MD P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME79510 Issued in FL

Legal business name

RAUL AYALA MD P.A.

Practice address

10508 Gibsonton Dr
Riverview, FL 33569-5434

Phone

(813) 741-2100

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gabriela P Acosta

Title

Office Manager

Phone

(813) 741-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BOYETTE WALK IN CLINIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154440436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695434",
            "telephone_number": "813-741-2100",
            "fax_number": "813-741-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695434",
            "telephone_number": "813-741-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL AYALA MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-741-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS ID #",
            "identifier": "1055495",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYETTE WALK IN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rapidreach Diagnostics LLC
• Unmoal Rashid, D.D.S.
• Alexis Brooke Ratliff
• Sathya Narayan Rau, MD
• Raul Ayala Internal Medicine LLC
• Raul Ayala MD P.a.
• Natalia Susana Ravello Navarrete
• Edena Pavilis Raymond, SOLO PROVIDER
• Jessica Read, DPT
• Janet Mary Ready, OTR

• Internal Medicine Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.