Provider Demographics
NPI:1871170332
Name:AYALA, NOE N (PHARMD)
Entity type:Individual
Prefix:
First Name:NOE
Middle Name:N
Last Name:AYALA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:METRO OFFICE PARK STREET 1
Mailing Address - Street 2:BUILDING 2 SUITE 500
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:787-522-5252
Mailing Address - Fax:
Practice Address - Street 1:METRO OFFICE PARK STREET 1
Practice Address - Street 2:BUILDING 2 SUITE 500
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-522-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist