Active NPI
Enid Cruz Ayala
- Physician Assistant
- Bayamon, PR
National Provider Identifier
1760249643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1495
- Practice address
- B7 Calle Santa Cruz
Bayamon, PR 00961-6902 - Phone
- (787) 780-9196
- NPI assigned
- Mar 6, 2024
- Last updated
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1495 | PR | Primary |
Addresses
Primary practice location
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Mailing address
HC 71 Box 16372
Bayamon, PR 00956-9849
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1495 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1760249643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 71 BOX 16372",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009569849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B7 CALLE SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616902",
"telephone_number": "787-780-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ AYALA",
"first_name": "ENID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "PR",
"license": "1495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.