Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jack Anthony Ayala I

Individual provider Case Manager/Care Coordinator · NPI 1568762805

Mr. Jack Anthony Ayala I is a Case Manager/Care Coordinator in Albuquerque, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

1225 4th St NW
Albuquerque, NM 87102-1414
Phone: (505) 212-7363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1568762805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2010
Last updated in NPPESNovember 2, 2010
Mailing address1225 4th St Nw, Albuquerque, NM 87102-1414

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