Provider Demographics
NPI:1023654217
Name:RODRIGUEZ-AYALA, OSCAR ANDRES (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:ANDRES
Last Name:RODRIGUEZ-AYALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. CEMENTERIO NACIONAL 11
Mailing Address - Street 2:HATO TEJAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-718-4702
Mailing Address - Fax:
Practice Address - Street 1:AVE. CEMENTERIO NACIONAL 11
Practice Address - Street 2:HATO TEJAS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-718-4702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-21
Last Update Date:2024-07-03
Deactivation Date:2024-05-30
Deactivation Code:
Reactivation Date:2024-07-03
Provider Licenses
StateLicense IDTaxonomies
PR21610208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice