NPIMap

Individual provider Active NPI

Pedro N Ayala Cruz, M.D.

  • Internal Medicine Physician
  • San German, PR
National Provider Identifier
1124189352
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14908 Issued in PR
Practice address
4 Calle Tetuan
San German, PR 00683-4088
Phone
(787) 892-5811
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14908 PR Primary

Addresses

Primary practice location

4 Calle Tetuan
San German, PR 00683-4088

Mailing address

PO Box 3267
Lajas, PR 00667-3267
Phone (787) 892-1860

Other identifiers 3

IdentifierTypeStateIssuer
14908OtherPRSTATE LICENCE
0023232MedicaidPR
DM-14949-2OtherPRSTATE NARCOTIC LICENCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050716000021 PR Practitioner - Internal Medicine 8628004074 Reassigns benefits to 1 organization
Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Migrant Health Center Western Region,Inc 47 clinicians

Practice addresses (Care Compare)

Carr 119 KM
0 Bo Piedras Blancas
San Sebastian, PR 00685-0000
Phone (787) 896-1665

Carr 128 KM
1 Calle Diego Hernandez
Yauco, PR 00698-0000
Phone (787) 685-5589

Carretera 128 KM
1 Bo Almacigo Bajo
Yauco, PR 00698-0000
Phone (787) 856-8449

Hospital & facility affiliations

  • Hospital de la Concepcion Hospital, San German, PR, CCN 400021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Hospital de la Concepcion Inc Past Accepting new patients
Jcy Internal Medicine PSC Internal Medicine PastSince Sep 6, 2020 Accepting new patients
Southwest Health Corp. Past Accepting new patients

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124189352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3267",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006673267",
            "telephone_number": "787-892-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE TETUAN",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834088",
            "telephone_number": "787-892-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA CRUZ",
        "first_name": "PEDRO",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "14908",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023232",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NARCOTIC LICENCE",
            "identifier": "DM-14949-2",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.