Javier A Ayala, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2563 Issued in PR

Practice address

M10 Ave Conquistador Valle Verde
Plaza del Rio Suite 201
Fajardo, PR 00738

Phone

(787) 860-4223

Fax

(787) 863-6972

NPI assigned

Jul 5, 2005

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grupo Dental Ayala del Rio CSP

  • General Practice Dentistry
  • Fajardo, PR
  • NPI 1417009846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1467459586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007929150",
            "telephone_number": "787-860-4223",
            "fax_number": "787-863-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M10 AVE CONQUISTADOR VALLE VERDE",
            "address_2": "PLAZA DEL RIO SUITE 201",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-4223",
            "fax_number": "787-863-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "JAVIER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Maria Araujo, R PH
• Ard Cardiology PSC
• Luis Armando Arraut-Ramirez, M.D.
• Nashaly E Arroyo Garcia
• Atlantis Health Care Group Puerto Rico, Inc. (Renal Centre of Fajardo)
• B18 LLC
• Abdiel Omar Baez, RN
• Noosha Baqi, M.D.
• Baralt Medical Equipment
• Livia M. Bermudez, M.D.

• General Practice Dentistry in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.