RAUL ERNESTO AYALA (NPI# 1710970710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710970710 |
| Entity Type | Individual |
| Full Name | RAUL ERNESTO AYALA |
| Credential | M.D |
| Practice Address |
10508 Gibsonton Dr Riverview FL 33569-5434 |
| Mailing Address |
10508 Gibsonton Dr Riverview FL 33578-5434 |
| Practice Telephone | 8137412100 |
| Practice Fax Number | 8137412003 |
| Mailing Telephone | 8137412100 |
| Mailing Fax Number | 8137412003 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2018-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME79510 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002218500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164774675 | Raul Ayala | Family Medicine | 2141 High St Ste E, Selma, CA 93662-3065 | 2012-10-08 |
| 1538780093 | Raul Ayala | Case Manager/Care Coordinator | 367 Pine St, Springfield, MA 01105-1930 | 2020-05-06 |
| Street Address |
10508 GIBSONTON DR |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33569-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124453808 | Maria Aurora Campa Huergo | General Practice | 10508 Gibsonton Dr, Riverview, FL 33578-5434 | 2013-09-12 |
| 1912234691 | Marianne Ferguson Ayala | Dietitian, Registered | 10508 Gibsonton Dr, Riverview, FL 33578-5434 | 2009-11-17 |
| 1154440436 | Raul Ayala Md P.a. | Internal Medicine | 10508 Gibsonton Dr, Riverview, FL 33569-5434 | 2007-03-28 |
| 1164556882 | Raul Ayala Md P.a. | Internal Medicine | 10508 Gibsonton Dr, Riverview, FL 33569-5434 | 2007-03-15 |
| 1386661973 | Emiliana Perez | Nurse Practitioner | 10508 Gibsonton Dr, Riverview, FL 33578-5434 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1376023945 | Lithia Assisted Living LLC | Assisted Living Facility | 13470 Boyette Rd, Riverview, FL 33569 | 2018-08-14 |
| 1992223911 | Flobert Lubin | Registered Nurse | 11135 Lakeside Vista Dr, Riverview, FL 33569 | 2017-08-30 |
| 1467908087 | Publix Super Markets Inc | Pharmacy | 11460 S Us Highway 301, Riverview, FL 33569 | 2016-09-01 |
| 1669831004 | Sandra M Santos | Dentist | 11478 S Us Hwy 301 S, Riverview, FL 33569 | 2016-02-13 |
| 1740509876 | Balanced Home Healthcare, Inc. | Home Health | 10855 Boyette Road, Riverview, FL 33569 | 2010-05-28 |
| 1801114160 | Zahid I Choudary | Psychiatry & Neurology | American Telestroke and Neurology Inc, 11922 Boyette Rd, Riverview, FL 33569 | 2010-05-12 |
| 1033348974 | Keri Ann Herro | Chiropractor | 11974 Balm Riverview Road, Riverview, FL 33569 | 2009-07-14 |
| 1689838666 | Danoosh Shiravand Amrooei | Dentist | 10845 W Bloomingdale Ave, Riverview, FL 33569 | 2008-07-18 |
| Find all providers in zip 33569 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700951985 | Melissa Dawn Fickey | General Practice | 6332 Us Highway 301 S, Riverview, FL 33578-3829 | 2006-11-22 |
| 1184620353 | Frederick E. Taylor | General Practice | 10141 Big Bend Rd., Suite 101, Riverview, FL 33578-7419 | 2005-06-22 |
| 1124453808 | Maria Aurora Campa Huergo | General Practice | 10508 Gibsonton Dr, Riverview, FL 33578-5434 | 2013-09-12 |
| 1679851281 | Ranjan D Parekh | General Practice | 15720 Cumberland St, Riverview, MI 48193-8173 | 2011-07-31 |
| 1801052485 | Clari J Salgado Rios | General Practice | 13150 Vail Ridge Dr, Riverview, FL 33579-7187 | 2008-08-01 |
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| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.