Individual provider Active NPI

Kermith Rafael Ayala, MD

  • Urology Physician
  • Coto Laurel, PR
National Provider Identifier
1306247606
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
22282 Issued in PR
Practice address
Torre San Cristobal
Oficina 203-204, Carr. 506 KM 1.0
Coto Laurel, PR 00780
Phone
(787) 429-5871
NPI assigned
Sep 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 22282 PR Primary

Addresses

Primary practice location

Torre San Cristobal
Oficina 203-204, Carr. 506 KM 1.0
Coto Laurel, PR 00780

Mailing address

PO Box 801212
Coto Laurel, PR 00780-1212

Other practice location 1

Calle Acerola, Coto laurel
Ponce, PR 00780
Phone (787) 848-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@hospitalsancristobalpr.com

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
I20220831002041 PR Practitioner - Urology 1951785567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torre San Cristobal
Oficina 203 204 Carr. 506 KM 1.0
Coto Laurel, PR 00780
Phone (787) 429-5871

Hospital & facility affiliations

  • Hospital Menonita Ponce Hospital, Ponce, PR, CCN 400113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Urology LLC Single Specialty CurrentSince Jul 16, 2022 Accepting new patients
Hospital Menonita Ponce Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kermith.ayalamuniz@4046.securemail.prognocis.com
  • Direct secure messaging: kermith.ayalamuniz.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 2

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.

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": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1306247606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801212",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "OFICINA 203-204, CARR. 506 KM 1.0",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-429-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Acerola, Coto laurel",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00780",
            "country_code": "US",
            "telephone_number": "787-848-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "KERMITH",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-06",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PR",
            "license": "22282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@hospitalsancristobalpr.com",
            "affiliation": "N",
            "endpointDescription": "contact",
            "address_1": "Calle Acerola, Coto laurel",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.