Alfredo Ayala Marrero, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

7230 Issued in PR

Practice address

Avenida de Diego 150
San Juan Health Centre Suite 201
San Juan, PR 00907

Phone

(787) 230-7557

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

General Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Condado Wellness Center PSCGroup PAC ID 4284018201, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Condado Wellness Center PSC

  • Multi-Specialty Clinic/Center
  • San Juan, PR
  • NPI 1013482066
  Medicare reassignment Care Compare group NPD
• Condado Wellness Center

  • Specialist
  • San Juan, PR
  • NPI 1194244657
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1881658284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMINO DE LOS COHITRES #102",
            "address_2": "SABANERA DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-287-1921",
            "fax_number": "787-869-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA DE DIEGO 150",
            "address_2": "SAN JUAN HEALTH CENTRE SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-230-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA MARRERO",
        "first_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "28721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "400054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HURNMA",
            "identifier": "7190017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H MENONITA",
            "identifier": "M000240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASUI",
            "identifier": "660452859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "17230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL OFFICE",
            "identifier": "2683A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Ayala Cabrera
• Maria del Mar Ayala Charriez, PSYD
• Jose Gabriel Ayala Cintron
• Ricardo Alexis Ayala Jimenez, M.D.
• Genesis Nicole Ayala Lopez, MD
• Zuanetley R. Ayala Mojica
• Keila Ilushka Ayala Montalvo, PHARMD.
• Danisha Ayala Ruiz
• Meliangely Ayala Sanchez
• Sofia Maria Ayala Silva, OTR/L

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.