Ayala-Haedo, Juan Alfredo

Ayala-Haedo, Juan Alfredo is an individual health care provider with primary practice located at 900 Nw 17Th St , Miami FL 33136-1119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Ayala-Haedo, Juan Alfredo can be contacted via phone (305) 243-2020.

Contact Information

Primary practice address
900 Nw 17Th St Miami FL 33136-1119
Phone: (305) 243-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R71638 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME120847 Florida

Profile Details

NPI number 1700015716
LBN Legal business name Ayala-Haedo, Juan Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2009
Last updated Jun 26th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700015716 NPPES
Florida MEDICAID 012474000

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