Individual provider Active NPI

Juan Alfredo Ayala-Haedo, M.D.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1700015716
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME120847 Issued in FL
Practice address
900 NW 17TH St
Miami, FL 33136-1119
Phone
(305) 243-2020
NPI assigned
Jul 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R71638 AZ
Ophthalmology Physician 207W00000X ME120847 FL Primary

Addresses

Primary practice location

900 NW 17TH St
Miami, FL 33136-1119

Mailing address

6233 N University Drive
Tamarac, FL 33321-4022
Phone (954) 721-0000

Other identifiers 1

IdentifierTypeStateIssuer
012474000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140819001269 FL Practitioner - Ophthalmology 7315164183 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R71638AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A James Segal MD PA Medeyeassociates Ophthalmology CurrentSince Apr 1, 2021 Accepting new patients
Analisa Arosemena MD, P.a. Past Accepting new patients
University of Miami Past Accepting new patients
Aran Eye Associates PA Past Accepting new patients

Locations

9299 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 233-8043

5858 SW 68th St
South Miami, FL 33143
Phone (305) 357-1711

Interoperability endpoints

  • Direct secure messaging: juan.ayalahaedomd.p1@direct.araneyeassociates.nextgenshare.com

Organizations & group practices 4

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": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1700015716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 N UNIVERSITY DRIVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214022",
            "telephone_number": "954-721-0000",
            "fax_number": "954-721-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361119",
            "telephone_number": "305-243-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-HAEDO",
        "first_name": "JUAN",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R71638",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME120847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012474000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.