Individual provider Active NPI

Manuel A Rodriguez Zayas, MD

  • Specialist
  • Ponce, PR
National Provider Identifier
1023094281
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6360 Issued in PR
Practice address
3084 Ave Emilio Fagot
Urb Santa Clara
Ponce, PR 00716-4117
Phone
(787) 984-0992
Fax
(787) 984-0932
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6360 PR Primary

Addresses

Primary practice location

3084 Ave Emilio Fagot
Urb Santa Clara
Ponce, PR 00716-4117

Mailing address

PO Box 9007
Ponce, PR 00732-9007
Phone (787) 984-0992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000008 PR Practitioner - Internal Medicine 8527081165 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6360PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Angel M Ayala MD PSC PastSince Dec 22, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1023094281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007329007",
            "telephone_number": "787-984-0992",
            "fax_number": "787-984-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 AVE EMILIO FAGOT",
            "address_2": "URB SANTA CLARA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164117",
            "telephone_number": "787-984-0992",
            "fax_number": "787-984-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ZAYAS",
        "first_name": "MANUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "6360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.