Active NPI
Victor Ayala MD PA
- Internal Medicine Physician
- Plantation, FL
National Provider Identifier
1245585199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0055215
- Legal business name
- VICTOR AYALA MD PA
- Practice address
- 220 SW 84TH Ave
Suite #106
Plantation, FL 33324-2754 - Phone
- (954) 452-0774
- NPI assigned
- Jul 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victor Ayala, M.D.
- Title
- Physician/Owner
- Phone
- (954) 452-0774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0055215 | FL | Primary |
Addresses
Primary practice location
220 SW 84TH Ave
Suite #106
Plantation, FL 33324-2754
Mailing address
220 SW 84TH Ave
Suite #106
Plantation, FL 33324-2754
Phone (954) 452-0774
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1245585199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SW 84TH AVE",
"address_2": "SUITE #106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242754",
"telephone_number": "954-452-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SW 84TH AVE",
"address_2": "SUITE #106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242754",
"telephone_number": "954-452-0774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTOR AYALA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "AYALA",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "954-452-0774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0055215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.