Active NPI
Roberto Leonel Ayala, MD
- Psychiatry Physician
- El Paso, TX
National Provider Identifier
1225876188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- BP10087836
- Practice address
- 4875 Maxwell Ave
El Paso, TX 79904-1559 - Phone
- (915) 465-0810
- NPI assigned
- Jul 16, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | BP10087836 | TX | Primary |
Addresses
Primary practice location
4875 Maxwell Ave
El Paso, TX 79904-1559
Mailing address
415 S Mesa Hills Dr Apt 1267
El Paso, TX 79912-5481
Phone (915) 260-2643
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10087836 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1225876188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S MESA HILLS DR APT 1267",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125481",
"telephone_number": "915-260-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 MAXWELL AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799041559",
"telephone_number": "915-465-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "ROBERTO",
"middle_name": "LEONEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "BP10087836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.