Ayala Lopez, Genesis Nicole

Ayala Lopez, Genesis Nicole is an individual health care provider with primary practice located at 725 Albany St Fl 8 , Boston MA 02118-3549. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Ayala Lopez, Genesis Nicole can be contacted via phone (617) 414-4841.

Contact Information

Primary practice address
725 Albany St Fl 8 Boston MA 02118-3549
Phone: (617) 414-4841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35141 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022419 Puerto Rico
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 3014767 Massachusetts

Profile Details

NPI number 1639721319
LBN Legal business name Ayala Lopez, Genesis Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2019
Last updated Sep 13th, 2023 - about 3 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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