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DR. ILIA E ZAYAS-TORO
NPI 1598732190
Family Medicine in Bayamon, PR

Active since March 02, 2006PECOS Enrolled
B7 CALLE SANTA CRUZ, AVE SANTA CRUZ, BAYAMON, PR 00961(787) 780-9196(787) 778-4793 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ilia E Zayas-toro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ILIA E ZAYAS-TORO (NPI 1598732190) is an individual family medicine provider in Bayamon, Puerto Rico, licensed in Puerto Rico (7431) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598732190
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ILIA E ZAYAS-TORO
Location AddressB7 CALLE SANTA CRUZ, AVE SANTA CRUZBayamon, PR 00961-6902
Mailing AddressB7 Calle Santa Cruz, Ave Santa CruzBayamon, PR 00961-6902 · (787) 780-9196 · Fax (787) 778-4793
Phone(787) 780-9196
Fax(787) 778-4793
Sole ProprietorYes
Enumeration DateMarch 2, 2006
Last NPPES UpdateAugust 6, 2010
✔ NPI 1598732190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PR · 7431
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
B7 CALLE SANTA CRUZ, Bayamon, PR 00961
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Other Identifiers 2

Medicare ID-Type Unspecified0099318PR · Provider Number
Medicare UPIND26755PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ilia E Zayas-toro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ilia Zayas-toro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cooperativa De Facultad Medica Sanacoop
Same address
Health Service
B7 CALLE SANTA CRUZ
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 12 clinicians in this Medicare group
NPI 1942638655 (787) 780-9196
Anchor Health Management Corp
Health Service
B7 CALLE SANTA CRUZ
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1457652307 (787) 780-9196
Cdt G.M,s.P., Inc
Federally Qualified Health Center (FQHC)
B7 CALLE SANTA CRUZ
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Cdt Gmsp Inc
  • 24 clinicians in this Medicare group
NPI 1255187159 (787) 780-9196

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00961 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH ATLANTIC HEALTH GROUP, LLC
Preventive Medicine (Public Health & General Preventive Medicine)
B7 CALLE SANTA CRUZ, URB SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 780-9196
MARIA ALAMO BHE
Health Educator
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 780-9196
JENNIE REYES
Case Manager/Care Coordinator
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 798-4567
DR. ISMAEL TORO GRAJALES MD, MPH
Family Medicine (Geriatric Medicine)
B7 CALLE SANTA CRUZ, URB. SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 780-9316
MULTISPECIALTY GROUP CDT GMSP INC
Clinic/Center (Multi-Specialty)
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 780-9316
DR. YOHANNA SANTANA
Case Manager/Care Coordinator
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 780-9316
GUILLERMO PONCE PAREDES MD
Pediatrics
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 372-3501
WANDA MARTINEZ LNP
Licensed Practical Nurse
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Bayamón Municipio (787) 780-9196

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilia Zayas-toro's NPI number?

The NPI number for Ilia Zayas-toro is 1598732190. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Ilia Zayas-toro located?

Ilia Zayas-toro practices at B7 Calle Santa Cruz Ave Santa Cruz, Bayamon, PR 00961. The listed phone number is (787) 780-9196.

What is Ilia Zayas-toro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ilia Zayas-toro enrolled in Medicare?

Yes. Ilia Zayas-toro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ilia Zayas-toro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilia Zayas-toro reassigns Medicare benefits to 3 organizations: Cooperativa De Facultad Medica Sanacoop (Bayamon, PR), Anchor Health Management Corp (Bayamon, PR) and Cdt G.M,s.P., Inc (Bayamon, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ilia Zayas-toro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ilia Zayas-toro was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.