Provider Demographics
NPI:1043023492
Name:MANALAYSAY, AZRIEL JOY PELAYO
Entity type:Individual
Prefix:
First Name:AZRIEL JOY
Middle Name:PELAYO
Last Name:MANALAYSAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 S 13TH 1/2 ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-1805
Mailing Address - Country:US
Mailing Address - Phone:812-390-0138
Mailing Address - Fax:
Practice Address - Street 1:1511 S 13TH 1/2 ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-1805
Practice Address - Country:US
Practice Address - Phone:812-390-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program