Dr Ilia E Zayas-toro, - Medicare Family Medicine in Bayamon, PR

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Dr Ilia E Zayas-toro, is a medicare enrolled "Family Medicine" physician in Bayamon, Puerto Rico. Her current practice location is B7 Calle Santa Cruz, Ave Santa Cruz, Bayamon, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 780-9196.

Dr Ilia E Zayas-toro is licensed to practice in Puerto Rico (license number 7431) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598732190.

Contact Information

Dr Ilia E Zayas-toro,
B7 Calle Santa Cruz, Ave Santa Cruz,
Bayamon, PR 00961-6902
(787) 780-9196
(787) 778-4793

Map and Direction




Physician's Profile

Full NameDr Ilia E Zayas-toro
GenderFemale
SpecialityFamily Medicine
LocationB7 Calle Santa Cruz, Bayamon, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598732190
  • Provider Enumeration Date: 03/02/2006
  • Last Update Date: 08/06/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1355317967
  • Enrollment ID: I20040904000098

Medical Identifiers

Medical identifiers for Dr Ilia E Zayas-toro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598732190NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 7431 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ilia E Zayas-toro allows following entities to bill medicare on her behalf.
Entity NameCdt Gmsp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417922972
PECOS PAC ID: 1355317751
Enrollment ID: O20040908000092
Entity NameSpm Doctors Services Group Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538318639
PECOS PAC ID: 1153500277
Enrollment ID: O20110121000387
Entity NameCooperativa De Facultad Medica Sanacoop
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942638655
PECOS PAC ID: 5496986499
Enrollment ID: O20140314000799
Entity NameAnchor Health Management Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457652307
PECOS PAC ID: 9032342167
Enrollment ID: O20140425000768

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ilia E Zayas-toro is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ilia E Zayas-toro,
B7 Calle Santa Cruz, Ave Santa Cruz,
Bayamon, PR 00961-6902

Ph: (787) 780-9196		Dr Ilia E Zayas-toro,
B7 Calle Santa Cruz, Ave Santa Cruz,
Bayamon, PR 00961-6902

Ph: (787) 780-9196

Reviews and Comments


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Dr. Ismael Toro Grajales, MD, MPH
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Medicare: Accepting Medicare Assignments
Practice Location: B7 Calle Santa Cruz, Urb. Santa Cruz, Bayamon, PR 00961
Phone: 787-780-9316    Fax: 787-778-4793

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.