Edgardo Isaac Baez Ayala, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15719 Issued in PR

Practice address

Carr. 365 KM 0.8 Bo. Machuchal
Plaza Isabella Local 2
Sabana Grande, PR 00637-0000

Phone

(939) 717-9840

Fax

(787) 978-7196

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primary & Internal Medicine

  • Corporate Health Clinic/Center
  • Santa Isabel, PR
  • NPI 1275693582

  PR

  Medicare reassignment NPD
• Primary Internal Care PSC

  • Internal Medicine Physician
  • Sabana Grande, PR
  • NPI 1801134978

  Internal Medicine, PR

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital de la Concepcion Inc

  • General Acute Care Hospital
  • San German, PR
  • NPI 1366484594

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital de la Concepcion Hospital, San German, PR, CCN 400021

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2014.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1609967140",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PRADERAS DE RIO FLORES 113",
            "city": "SABANA GRANDE",
            "state": "PUERTO RICO",
            "postal_code": "00637",
            "telephone_number": "939-717-9840",
            "fax_number": "787-978-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 365 KM 0.8 BO. MACHUCHAL",
            "address_2": "PLAZA ISABELLA LOCAL 2",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370000",
            "telephone_number": "939-717-9840",
            "fax_number": "787-978-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ AYALA",
        "first_name": "EDGARDO",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE - S",
            "identifier": "22869BA",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aura Med Services LLC
• Robert William Axtmayer Carcache, MD
• Robert William Axtmayer, MD
• Jorge Luis Ayala-Colon, M.D.
• Stephanie Ayala, RN
• Gustavo Alejandro Baez Munoz
• Fabian Obed Barbosa Rivera, MSW
• Juan Miguel Barrientos-Gayoso, M.D.
• Edlyn Lorell Bayron Aubret, MD
• Gretchen Bayron Soto, EMT

• All providers in Sabana Grande, PR
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.

Verify at the official NPI Registry.