Individual provider Active NPI

Ernesto J. Ayala-Cruz, M.D.

  • Diagnostic Radiology Physician
  • Toa Altasan Juan, PR
National Provider Identifier
1134352941
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD438265 Issued in PA
Practice address
#1462 Steer Prof.Augusto Rodriguez
Toa Altasan Juan, PR 00910
Phone
(787) 799-1558
Fax
(787) 799-1558
NPI assigned
Aug 27, 2009
Last updated
Aug 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD438265 PA Primary

Addresses

Primary practice location

#1462 Steer Prof.Augusto Rodriguez
Toa Altasan Juan, PR 00910

Mailing address

PO Box 1177
Toa Alta, PR 00954-1177

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
I20120427000379 PR Practitioner - Diagnostic Radiology 1456498849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Asem
Bo. Monacillos Centro Medico de Puerto Ric
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M & P Radiologos, LLC Diagnostic Radiology CurrentSince Mar 21, 2012 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Feb 1, 2015 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Feb 1, 2015 Accepting new patients

Locations

Asem
San Juan, PR 00935

Organizations & group practices 3

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

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1134352941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009541177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1462 STEER PROF.AUGUSTO RODRIGUEZ",
            "city": "TOA ALTASAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-799-1558",
            "fax_number": "787-799-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-CRUZ",
        "first_name": "ERNESTO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD438265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.