Individual provider Active NPI

Marcos A. Ayala Rivera, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1194772640
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6806 Issued in PR
Practice address
167E Calle Ramos Antonini
Mayaguez, PR 00680-5039
Phone
(787) 833-5235
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 6806 PR Primary

Addresses

Primary practice location

167E Calle Ramos Antonini
Mayaguez, PR 00680-5039

Mailing address

PO Box 1568
Mayaguez, PR 00681-1568
Phone (787) 833-5235

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
I20081105000428 PR Practitioner - General Practice 0345309316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

167 Calle Ramos Antonini E
Mayaguez, PR 00680-5039
Phone (787) 833-5235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6806PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ayala Preventive Medicine PSC CurrentSince Jan 4, 2011 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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1194772640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811568",
            "telephone_number": "787-833-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167E CALLE RAMOS ANTONINI",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805039",
            "telephone_number": "787-833-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA RIVERA",
        "first_name": "MARCOS",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.