Individual provider · NPI-1

Eileen Ayala-Cosme

Dentist, General Practice · Bayamon, PR

NPI number1568585461
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1568585461
Entity type
Individual (NPI-1)
Name
Eileen Ayala-Cosme
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice1915PRYes

Practice location

T1 Calle 1a
Repto. Valencia, Hato Tejas
Bayamon, PR 00959-3732

Phone 787-740-7873

Mailing address

T1 Calle 1a
Repto. Valencia, Hato Tejas
Bayamon, PR 00959-3732

Phone 787-740-7873

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