Ayala, Raul Ernesto
Ayala, Raul Ernesto is an individual health care provider with primary practice located at 10508 Gibsonton Dr , Riverview FL 33569-5434. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ayala, Raul Ernesto can be contacted via phone (813) 741-2100.Contact Information
Primary practice address
10508 Gibsonton Dr
Riverview FL 33569-5434
Phone: (813) 741-2100
Fax: (813) 741-2003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME79510 | Florida |
Profile Details
| NPI number | 1710970710 |
|---|---|
| LBN Legal business name | Ayala, Raul Ernesto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Dec 27th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710970710 | NPPES |
| Florida | MEDICAID | 002218500 |
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