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Jose L Ayala Ortiz

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Ave, Toledo, OH 43614-2595

PECOS Enrollment

This provider is enrolled in PECOS as JOSE AYALA ORTIZ.

Based on the most recent information from CMS, provider Jose L Ayala Ortiz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 13 days ago.

Profile Details

Provider ID
1063142396
Provider Type
Individual
Full Name
Ayala Ortiz, Jose L
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/10/2022
Last Updated
5/11/2025

Contact Information

Practice Location

3000 Arlington Ave, Toledo, OH 43614-2595

(419) 383-6462

Unlisted Fax

Mailing Location

3000 Arlington Ave, Toledo, OH 43614-2595

(419) 383-6462

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Puerto Rico

Jose L Ayala Ortiz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

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