Active NPI
Victor H Ayala, M.D.
- Internal Medicine Physician
- Plantation, FL
National Provider Identifier
1215027222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 0055215
- Practice address
- 220 SW 84TH Ave
Suite 106
Plantation, FL 33324-2754 - Phone
- (954) 452-0774
- Fax
- (954) 424-8023
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 0055215 | FL | Primary |
Addresses
Primary practice location
220 SW 84TH Ave
Suite 106
Plantation, FL 33324-2754
Mailing address
220 SW 84TH Ave
Suite 106
Plantation, FL 33324-2754
Phone (954) 452-0774
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09304 | Other | FL | BCBS PROVIDER NUMBER |
| 650219708 | Other | FL | HUMANA PROVIDER NUMBER |
| 100040 | Other | FL | AVMED PROVIDER NUMBER |
| 2011773 | Other | FL | AETNA PROVIDER NUMBER |
| 0402460 | Other | FL | UNITEDHEALTHCARE PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 0055215 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- ayala.victor.1@14802.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Plantation, FL
- NPI 1245585199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215027222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 SW 84TH AVE",
"address_2": "SUITE 106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242754",
"telephone_number": "954-452-0774",
"fax_number": "954-424-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SW 84TH AVE",
"address_2": "SUITE 106",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242754",
"telephone_number": "954-452-0774",
"fax_number": "954-424-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "VICTOR",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 0055215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "09304",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROVIDER NUMBER",
"identifier": "650219708",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER NUMBER",
"identifier": "100040",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2011773",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE PROVIDER",
"identifier": "0402460",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.