Individual provider Active NPI

Balbino Ayala-Rosa, M.D.

  • General Practice Physician
  • Rio Grande, PR
National Provider Identifier
1306806005
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10225 Issued in PR
Practice address
L2 Calle 6
Villas de Rio Grande
Rio Grande, PR 00745-2825
Phone
(787) 888-8888
Fax
(787) 888-8887
NPI assigned
Mar 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10225 PR Primary

Addresses

Primary practice location

L2 Calle 6
Villas de Rio Grande
Rio Grande, PR 00745-2825

Mailing address

PO Box 295
Luquillo, PR 00773-0295
Phone (787) 888-8886

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
I20120717000106 PR Practitioner - General Practice 8527224773 Practice locations: Rio Grande, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University Central del Caribe Escuela de Medicina, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Villas de Rio Grande
Rio Grande, PR 00765
Phone (787) 394-8886

Hospital & facility affiliations

National Provider Directory

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

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306806005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730295",
            "telephone_number": "787-888-8886",
            "fax_number": "787-888-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L2 CALLE 6",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452825",
            "telephone_number": "787-888-8888",
            "fax_number": "787-888-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-ROSA",
        "first_name": "BALBINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

Verify at the official NPI Registry.