Individual provider Active NPI

Gerald Louis Zayas Lajara, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1780125120
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19584 Issued in PR
Practice address
Rovira Office Park 623 Ave. la Ceiba
Suite 201
Ponce, PR 00717-1901
Phone
(939) 238-9856
NPI assigned
Mar 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 19584 PR Primary

Addresses

Primary practice location

Rovira Office Park 623 Ave. la Ceiba
Suite 201
Ponce, PR 00717-1901

Mailing address

Rovira Office Park 623 Ave. la Ceiba
Suite 201
Ponce, PR 00717-1901
Phone (939) 238-9856

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
I20180417002603 PR Practitioner - General Practice 2466724174 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19584PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eternity Health LLC General Practice CurrentSince Jan 7, 2025 Accepting new patients

Locations

623 Ave La Ceiba
Ste 201
Ponce, PR 00717
Phone (787) 392-3018

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1780125120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROVIRA OFFICE PARK 623 AVE. LA CEIBA",
            "address_2": "SUITE 201",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171901",
            "telephone_number": "939-238-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROVIRA OFFICE PARK 623 AVE. LA CEIBA",
            "address_2": "SUITE 201",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171901",
            "telephone_number": "939-238-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS LAJARA",
        "first_name": "GERALD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.