Individual provider Active NPI

Noelys Marie Lopez Ayala, 73868

  • Registered Nurse
  • Mayaguez, PR
National Provider Identifier
1669837589
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
73868 Issued in PR
Practice address
Avenida Hostos Carr 2 K.M 156.5
Office Park 4 Building St. Rode 349 Suite
Mayaguez, PR 00680-1511
Phone
(787) 710-2532
Fax
(787) 986-7614
NPI assigned
Dec 18, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 73868 PR Primary

Addresses

Primary practice location

Avenida Hostos Carr 2 K.M 156.5
Office Park 4 Building St. Rode 349 Suite
Mayaguez, PR 00680-1511

Mailing address

69 Calle Nicolas Soto Ramos
Anasco, PR 00610-2714
Phone (787) 710-2532

Other identifiers 1

IdentifierTypeStateIssuer
73868OtherPRNURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
73868PRMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
PR Renal Health and Research Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1669837589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CALLE NICOLAS SOTO RAMOS",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102714",
            "telephone_number": "787-710-2532",
            "fax_number": "787-986-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA HOSTOS CARR 2 K.M 156.5",
            "address_2": "OFFICE PARK 4 BUILDING ST. RODE 349 SUITE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801511",
            "telephone_number": "787-710-2532",
            "fax_number": "787-986-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ AYALA",
        "first_name": "NOELYS",
        "middle_name": "MARIE",
        "credential": "73868",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "73868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSE",
            "identifier": "73868",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.