Iris Nereida Ayala, M.D., FACOG

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME94062 Issued in FL

Practice address

400 W Woodward Ave
Eustis, FL 32726-4555

Phone

(352) 483-3730

Fax

(352) 483-3355

NPI assigned

Sep 4, 2009

Last updated

Sep 4, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1609109834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST WOODWARD AVENE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "32726",
            "telephone_number": "352-483-3730",
            "fax_number": "352-483-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W WOODWARD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264555",
            "telephone_number": "352-483-3730",
            "fax_number": "352-483-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "IRIS",
        "middle_name": "NEREIDA",
        "name_prefix": "Dr.",
        "credential": "M.D., FACOG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME94062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5301301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• At Home Care Assisted Living Facility, Inc.
• Bernard Agtuca Auditor, PT
• Martin R Austria, MD
• Dana L Avant
• Brittany Ayala
• Meagan M Ayers, COTA/L
• Anthony A. Azadi, DDS
• Lucy Edith Baca, BEHAVIOR TECHNICIAN
• Sandra Badrous, DMD
• Racheal Marie Baer

• Obstetrics & Gynecology Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.