Individual provider Active NPI

Kenneth Rivera Ayala, MD

  • Pediatrics Physician
  • Coto Laurel, PR
National Provider Identifier
1316908007
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12788 Issued in PR
Practice address
2201 Carr 14 Apt 33303
Cond la Alborada
Coto Laurel, PR 00780-2327
Phone
(787) 630-0959
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12788 PR Primary

Addresses

Primary practice location

2201 Carr 14 Apt 33303
Cond la Alborada
Coto Laurel, PR 00780-2327

Mailing address

2201 Carr 14 Apt 33303
Coto Laurel, PR 00780-2327
Phone (787) 630-0959

Other identifiers 1

IdentifierTypeStateIssuer
12788OtherPRMEDICAL LICENSE

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

LicenseStateTypeSpecialty
12788PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1316908007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CARR 14 APT 33303",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802327",
            "telephone_number": "787-630-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CARR 14 APT 33303",
            "address_2": "COND LA ALBORADA",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802327",
            "telephone_number": "787-630-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA AYALA",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12788",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.