Active NPI
Roberto F Correa Ayala, M.D
- State or Local Public Health Clinic/Center
- Cayey, PR
National Provider Identifier
1376747287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- License
- 1524
- Practice address
- 55 Calle Jose Celso Barbosa S
Cayey, PR 00736-4726 - Phone
- (787) 738-3088
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | 1524 | PR | Primary |
Addresses
Primary practice location
55 Calle Jose Celso Barbosa S
Cayey, PR 00736-4726
Mailing address
Pobox 1085
Urb. Quintas Las Muesas St .Roberto Diaz Aa-13
Cayey, PR 00737
Phone (787) 738-2910
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1524 | PR | MD | State or Local Public Health Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376747287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POBOX 1085",
"address_2": "URB. QUINTAS LAS MUESAS ST .ROBERTO DIAZ AA-13",
"city": "CAYEY",
"state": "PR",
"postal_code": "00737",
"telephone_number": "787-738-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE JOSE CELSO BARBOSA S",
"city": "CAYEY",
"state": "PR",
"postal_code": "007364726",
"telephone_number": "787-738-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA AYALA",
"first_name": "ROBERTO",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "PR",
"license": "1524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.