Jose Manuel Ayala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21947 Issued in PR

Practice address

Carr 2 KM 173
San German, PR 00683

Phone

(787) 892-1860

NPI assigned

Jul 27, 2018

Last updated

Nov 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

San Juan Bautista School of Medicine, 2017

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 enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ayala Troche, MD, C.S.P.

  • Medical Specialty Clinic/Center
  • San German, PR
  • NPI 1518569136
  Medicare reassignment NPD Authorized official
• Hospital de la Concepcion Inc

  • General Acute Care Hospital
  • San German, PR
  • NPI 1366484594
  NPD (past)

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
  Care Compare affiliation

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1730666173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION BORINQUEN",
            "address_2": "N21 CALLE PEDRO FLORES",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-502-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 173",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Francisco Aviles-Acosta, PSYD
• Hilda D Aviles, PSYD
• Pedro N Ayala Cruz, M.D.
• Jose Antonio Ayala Torres Jr., M.D.
• Ayala Troche, MD, C.S.P.
• Ivan Baez-Santos, PSYD
• Axel A Baez-Torres, MD
• Paolo Rene Banuchi Ponce, MD
• Selma Basora, DMD
• Gustavo Enrique Bello Rojas, MD

• Internal Medicine Physician in San German, PR
• Providers in San German, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.