Ildefonso Santiago Ayala

NPI #1457300741 in Cabo Rojo, Puerto Rico

Provider Information

NPI Number
1457300741
Entity Type
Organization
Organization Name
Ildefonso Santiago Ayala
Primary Specialty
Ambulance - Land Transport
Enumeration Date
May 6, 2006
Last Updated
Jan 18, 2010

Practice Location

Address
102 CALLE PARQUE W
Address 2
MONTE GRANDE
ZIP Code
00623-3735
Phone
(787) 255-0636

Authorized Official

Name
ILDEFONSO SANTIAGO AYALA
Title
OWNER
Phone
(787) 255-0636

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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