Nellyann Ayala Caldero, BA, PMB, CFM, RN

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

CFM03114 Issued in VA

Practice address

Ave. Degetau Bonneville Heights #4 Calle Las Piedras W1
Caguas, PR 00727

Phone

(787) 526-5557

NPI assigned

Aug 7, 2024

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Registered Nurse

State licenses

Practice roles

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.

• Miracle of Hope

  • Prosthetic/Orthotic Supplier
  • Caguas, PR
  • NPI 1700616273
  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1548090152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARQUE DEL MONTE CALLE CAGUAX EE-30",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-526-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. DEGETAU BONNEVILLE HEIGHTS #4 CALLE LAS PIEDRAS W1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-526-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA CALDERO",
        "first_name": "NELLYANN",
        "credential": "BA, PMB, CFM, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "VA",
            "license": "CFM03114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aviles Plastic Surgery ,PSC
• Diana L Aviles, MD
• Lenna M Aviles, DMD
• Victor Aviles, PH
• Jalal Awad, PHARMD
• Yamira Enid Ayala Delgado, DC.
• Ayala Dental LLC
• Jose Luis Ayala Rivera, MD
• Sofia Carolina de Fatima Ayala Rodriguez
• Javennys Marie Ayala Vazquez, DMD

• Mastectomy Fitter in Caguas, PR
• Providers in Caguas, PR by specialty
• Mastectomy Fitter in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.