Jose A Ayala-Medina, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

8609 Issued in PR

Practice address

CT Comercial Bella Vista
Bella Vista # 4
Bayamon, PR 00956-0001

Phone

(787) 797-9022

NPI assigned

Dec 1, 2005

Last updated

Apr 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1598749871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE FELIX DE AZAHARA #1046",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-797-9022",
            "fax_number": "787-797-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CT COMERCIAL BELLA VISTA",
            "address_2": "BELLA VISTA # 4",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560001",
            "telephone_number": "787-797-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-MEDINA",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6HP",
            "identifier": "0609",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCA",
            "identifier": "0082276",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALI",
            "identifier": "P6-3542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "1187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "8-2276-AY",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "908609",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA",
            "identifier": "060260",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "201665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHP",
            "identifier": "9570010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA",
            "identifier": "M-0260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armando Ayala Reyes
• Eugenia Ayala Rivera, MD
• Eileen Ayala-Cosme
• Jose Raul Ayala-Cuervos Sr., MD
• Jennifer Ayala-Garcia
• Nilkaliz Ayala-Robles
• Brunilda Ayala, OPTICIAN
• Eneida Ayala
• Jose Antonio Ayala Sr., M.D.
• Myrna Ayala, RN

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.