Enid Cruz Ayala
Individual provider Active NPI Physician Assistant · Bayamon, PR
NPI 1760249643 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1760249643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1495 (PR)
- Practice address
- B7 Calle Santa Cruz
Bayamon, PR 00961-6902 - Phone
- (787) 780-9196
- NPI assigned
- Mar 6, 2024
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1495 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | 1495 | PR | Yes |
Addresses
Primary practice location
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Mailing address
HC 71 Box 16372
Bayamon, PR 00956-9849
Other providers in Bayamon, PR
- Omar Crespo
- Rosa M Crespo
- Vera Cristina Crespo
- Gianna Enid Crisson
- Joanel Cruet Torres
- Mirian Cruz Cruz
- Solange Cruz de Hostos
- Kattya Dinora Cruz Lopez
- Jose Enrique Cruz Orengo
- Javier Antonio Cruz Ortiz
All providers in Bayamon, PR · Physician Assistant in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.