Active NPI
Gerald Louis Zayas Lajara, M.D.
- General Practice Physician
- Ponce, PR
National Provider Identifier
1780125120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19584
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19584 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eternity Health LLC | General Practice | Current | 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.
-
- General Practice Physician
- Ponce, PR
- NPI 1821833765
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.