Individual provider Active NPI

Danelis Priscilla Ayala-Carrasquillo, MD

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1831842145
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1535 Issued in FL
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

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212004303 FL Practitioner - General Practice 0749623247 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23142PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RM Healthcare LLC General Practice CurrentSince Dec 18, 2023 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.

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

Verify at the official NPI Registry.