Individual provider Active NPI

Augusto Jose Ayala-Caminero, MD

  • Internal Medicine Physician
  • Trujillo Alto, PR
National Provider Identifier
1558797274
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18582 Issued in PR
Practice address
Encantada PLZ
Parque del Rio, Via del Rio # 41
Trujillo Alto, PR 00976-6301
Phone
(787) 585-2411
NPI assigned
Sep 26, 2013
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18582 PR Primary

Addresses

Primary practice location

Encantada PLZ
Parque del Rio, Via del Rio # 41
Trujillo Alto, PR 00976-6301

Mailing address

Via del Rio # 41
Encantada, Parque del Rio
Trujillo Alto, PR 00976
Phone (787) 585-2411

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201000010 PR Practitioner - Internal MedicinePractitioner - Addiction Medicine 2769850403 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gemi PSCGroup PAC ID 0345568820, 9 clinicians

Practice addresses (Care Compare)

B41 Calle Elliot Velez
Manati, PR 00674-4615
Phone (787) 621-4364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18582PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gemipsc Internal Medicine CurrentSince Feb 3, 2023 Accepting new patients

Locations

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1558797274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA DEL RIO # 41",
            "address_2": "ENCANTADA, PARQUE DEL RIO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-585-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ENCANTADA PLZ",
            "address_2": "PARQUE DEL RIO, VIA DEL RIO # 41",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766301",
            "telephone_number": "787-585-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-CAMINERO",
        "first_name": "AUGUSTO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.