Active NPI
Raul Melendez Ayala
- Internal Medicine Physician
- Dorado, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14175
- Practice address
- Urb Sabanera de Dorado 401 Camino de Los Jobanes
Dorado, PR 00646 - Phone
- (787) 798-0043
- NPI assigned
- Oct 5, 2006
- Last updated
- Jan 22, 2019
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14175 | PR | Primary |
Addresses
Primary practice location
Urb Sabanera de Dorado 401 Camino de Los Jobanes
Dorado, PR 00646
Mailing address
Cond. Paseo Abril
Apat. 604
Toa Baja, PR 00949
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040209000378 | PR | Practitioner - Internal Medicine | 3173417599 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Torre San Pablo
Suite 906
Bayamon, PR 00961-7032
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am Acquisition I, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Hospital Auxilio Mutuo San Pablo
- General Acute Care Hospital
- Bayamon, PR
- NPI 1518732700
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospital Auxilio Mutuo San Pablo
- General Acute Care Hospital
- Bayamon, PR
- NPI 1518732700
-
- Home Health Agency
- Manati, PR
- NPI 1659364248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1528155363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. PASEO ABRIL",
"address_2": "APAT. 604",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB SABANERA DE DORADO 401 CAMINO DE LOS JOBANES",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-798-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ AYALA",
"first_name": "RAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "14175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.