Individual provider Active NPI

Amaury O Ayala, LMT

  • Massage Therapist
  • San Juan, PR
National Provider Identifier
1306461579
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0966 Issued in PR
Practice address
1739 Carr 8838
San Juan, PR 00926-2741
Phone
(787) 299-9863
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0966 PR Primary

Addresses

Primary practice location

1739 Carr 8838
San Juan, PR 00926-2741

Mailing address

713 Calle Aster
San Juan, PR 00926-4817
Phone (787) 299-9863

Other identifiers 1

IdentifierTypeStateIssuer
4380678OtherPRDRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lenovo

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

State licenses

LicenseStateTypeSpecialty
0966PRMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1306461579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CALLE ASTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264817",
            "telephone_number": "787-299-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 CARR 8838",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262741",
            "telephone_number": "787-299-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "AMAURY",
        "middle_name": "O",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PR",
            "license": "0966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4380678",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lenovo",
            "affiliation": "N",
            "address_1": "1739 Carr 8838",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009262741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.