Individual provider Active NPI

Edwin Vazquez Ayala, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1659392124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11449 Issued in PR
Practice address
Centro Ambulatorio Hima San Pablo
Ave. Munoz Rivera a-1
Caguas, PR 00725-0000
Phone
(787) 653-3434
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11449 PR Primary

Addresses

Primary practice location

Centro Ambulatorio Hima San Pablo
Ave. Munoz Rivera a-1
Caguas, PR 00725-0000

Mailing address

Urb. Veredas
Residencia #688, Vereda de Los Cedros
Gurabo, PR 00778-0000
Phone (787) 449-6084

Other identifiers 1

IdentifierTypeStateIssuer
11449OtherPRDOCTORS STATE LICENCE

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
I20081205000579 PR Practitioner - General Practice 0042371221 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11449PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MM Health Services, LLC. CurrentSince Oct 18, 2025 Accepting new patients
Zenith Health Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Emergency Physician Providers, LLC CurrentSince Oct 1, 2024 Accepting new patients
Centro Med Turabo Past Accepting new patients
Dla Imaging LLC PastSince Sep 17, 2023 Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659392124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VEREDAS",
            "address_2": "RESIDENCIA #688, VEREDA DE LOS CEDROS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780000",
            "telephone_number": "787-449-6084",
            "fax_number": "787-747-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO AMBULATORIO HIMA SAN PABLO",
            "address_2": "AVE. MUNOZ RIVERA A-1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250000",
            "telephone_number": "787-653-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ AYALA",
        "first_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS STATE LICENCE",
            "identifier": "11449",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.