Mariam Adelis Ayala-Yordan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23179 Issued in PR

Practice address

Calle Sergio Cuevas Bustamante #550, Hato Rey
San Juan, PR 00918

Phone

(787) 758-8383

NPI assigned

May 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1992328959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1222",
            "address_2": "SAINT JUST STATION",
            "city": "SAINT JUST",
            "state": "PR",
            "postal_code": "00978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SERGIO CUEVAS BUSTAMANTE #550, HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-YORDAN",
        "first_name": "MARIAM",
        "middle_name": "ADELIS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danisha Ayala Ruiz
• Meliangely Ayala Sanchez
• Sofia Maria Ayala Silva, OTR/L
• Norma L Ayala-Burgos, PHARM D
• Denisse M Ayala-Morales
• Abner Yamil Ayala
• Amaury O Ayala, LMT
• Aneliese Ayala, RPH
• Eva A Ayala, LPN
• Israel Ayala, MD

• 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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.