Active NPI
Danelis Priscilla Ayala-Carrasquillo, MD
- General Practice Physician
- Ocala, FL
National Provider Identifier
1831842145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1535
- Practice address
- 2202 SE 17TH St
Ocala, FL 34471-2623 - Phone
- (352) 204-9866
- Fax
- (352) 204-9661
- NPI assigned
- Jan 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23142 | PR | |
| General Practice Physician | 208D00000X | ACN1535 | FL | Primary |
Addresses
Primary practice location
2202 SE 17TH St
Ocala, FL 34471-2623
Mailing address
120 Hickory Course Loop
Ocala, FL 34472-4399
Phone (787) 225-0890
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23142 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RM Healthcare LLC | General Practice | Current | Accepting new patients |
| Renova Telemed | General Practice | Current | Accepting new patients |
Locations
2202 SE 17th St
Ocala, FL 34471
Phone (352) 204-9866
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
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
- Ocala, FL
- NPI 1639698939
-
- General Practice Physician
- Canovanas, PR
- NPI 1669303459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1831842145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HICKORY COURSE LOOP",
"city": "OCALA",
"state": "FL",
"postal_code": "344724399",
"telephone_number": "787-225-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344712623",
"telephone_number": "352-204-9866",
"fax_number": "352-204-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA-CARRASQUILLO",
"first_name": "DANELIS",
"middle_name": "PRISCILLA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23142",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.