Individual provider Active NPI

Hugo De Ayala, M.D.

  • Specialist
  • Hollywood, FL
National Provider Identifier
1396980892
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
48449 Issued in FL
Practice address
6100 Hollywood Blvd
Suite 106
Hollywood, FL 33024-7900
Phone
(954) 983-8186
Fax
(954) 983-9093
NPI assigned
Dec 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 48449 FL Primary

Addresses

Primary practice location

6100 Hollywood Blvd
Suite 106
Hollywood, FL 33024-7900

Mailing address

6100 Hollywood Blvd
Suite 106
Hollywood, FL 33024-7900
Phone (954) 983-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141105001308 FL Order and Referring Only - Family PracticePractitioner - Family Practice 1456573583

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48449FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1396980892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "address_2": "SUITE 106",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247900",
            "telephone_number": "954-983-8186",
            "fax_number": "954-983-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD",
            "address_2": "SUITE 106",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247900",
            "telephone_number": "954-983-8186",
            "fax_number": "954-983-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE AYALA",
        "first_name": "HUGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "48449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.