Dmra LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17640 Issued in PR

Legal business name

DMRA LLC

Practice address

65 De Infanteria #67
Suite 104-109
Anasco, PR 00610

Phone

(787) 826-2145

Fax

(787) 826-7411

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Roberto J Ayala Rios, M.D.NPI 1518197136

Title

President

Phone

(787) 370-6187

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto J. Ayala Rios, M.D.

  • General Practice Physician
  • Anasco, PR
  • NPI 1518197136

  General Practice, PR

  Medicare reassignment NPD Authorized official
• Diahnara Mercado Ramirez, MD

  • General Practice Physician
  • Anasco, PR
  • NPI 1043208432

  PR

  Medicare reassignment

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1245508282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006101750",
            "telephone_number": "787-342-4880",
            "fax_number": "787-998-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DE INFANTERIA #67",
            "address_2": "SUITE 104-109",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-2145",
            "fax_number": "787-826-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "AYALA RIOS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-370-6187",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "17640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "100686",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Anasco, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.