Individual provider Active NPI

Ana Victoria Ayala Morant, MD

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1366008997
Registry record updated Oct 4, 2021
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22530 Issued in PR
Practice address
Urb. El Retiro A16
Humacao, PR 00791-4055
Phone
(787) 675-2814
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 22530 PR Primary

Addresses

Primary practice location

Urb. El Retiro A16
Humacao, PR 00791-4055

Mailing address

Urb. El Retiro A16
Humacao, PR 00791-4055
Phone (787) 675-2814

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
I20230921000157 PR Practitioner - General Practice 4789048000 Practice locations: Humacao, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1366008997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. EL RETIRO A16",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914055",
            "telephone_number": "787-675-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. EL RETIRO A16",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914055",
            "telephone_number": "787-675-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA MORANT",
        "first_name": "ANA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

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