Quick answers
- Does Joel Ramos Ayala accept Medicare assignment?
- Yes. Medicare's clinician data says Joel Ramos Ayala accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Joel Ramos Ayala see?
- In 2024, CMS data shows 18 Original Medicare patients and 165 services for Joel Ramos Ayala. This counts Original Medicare only and measures volume, not quality.
- What is Joel Ramos Ayala's NPI number?
- 1457344509. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Joel Ramos Ayala, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 18 |
|---|---|
| Services billed to Medicare | 165 |
| Different services or procedures | 20 |
| Participating Medicare provider | Yes |
| Average age of these patients | 75 |
Most frequent services
- Technetium tc-99m sestamibi, diagnostic, per study dose (A9500)25 services
- Nuclear medicine studies of heart muscle at rest and with stress and spect (78452)12 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Diabetes75%
Practice locations
Addresses where Joel Ramos Ayala is enrolled with Medicare (CMS data updated October 2, 2026).
- 1716 Calle ParanaSan Juan, PR 00926 (787) 766‑2200
Group practices
Medicare enrollment lists Joel Ramos Ayala as a member of this group (CMS data updated October 2, 2026).
- El Senorial Cardiovascular Services Inc2 clinicians in the group
Specialties
- Nuclear Medicineprimary
Other nuclear medicine doctors in San Juan
Clinicians with the same Medicare primary specialty in San Juan, PR — not a recommendation.
Other clinicians in El Senorial Cardiovascular Services Inc
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 1992 (34 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1457344509 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians