Individual provider Active NPI

Jose Antonio Ayala Torres Jr., M.D.

  • General Practice Physician
  • San German, PR
National Provider Identifier
1619284437
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18006 Issued in PR
Practice address
Street . 361 KM 1.4 Int
Cain Alto
San German, PR 00683-1617
Phone
(787) 264-2995
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18006 PR Primary

Addresses

Primary practice location

Street . 361 KM 1.4 Int
Cain Alto
San German, PR 00683-1617

Mailing address

PO Box 1617
Street 361 KM 1.4 Int Cain Alto
San German, PR 00683-1617
Phone (787) 264-2995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150507000379 TX Order and Referring Only - General PracticePractitioner - General Practice 3274711536

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018006PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1619284437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1617",
            "address_2": "STREET 361 KM 1.4 INT CAIN ALTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831617",
            "telephone_number": "787-264-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET . 361 KM 1.4 INT",
            "address_2": "CAIN ALTO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831617",
            "telephone_number": "787-264-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA TORRES",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.