Jose M Rodriguez Ayala

Individual provider Active NPI Land Ambulance · Hormiguero, PR

NPI 1609021708 · NPPES record last updated Nov 18, 2008

Key facts

NPI
1609021708
Entity type
Individual (NPI type 1)
Primary specialty
Land Ambulance 3416L0300X
License
TC AMB 80 (PR)
Practice address
Carretera 344 KM 3 0
Hormiguero, PR 00660
Phone
(787) 849-3208
Fax
(787) 849-1440
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TC AMB 80PRMDLand Ambulance

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 80 PR Yes

Addresses

Primary practice location

Carretera 344 KM 3 0
Hormiguero, PR 00660

Mailing address

Apartado 864
Hormiguero, PR 00660
Phone (787) 849-3208

Sources for this page

Verify at the official NPI Registry.