NPPES file of Aug 9, 2026

Kermith Rafael Ayala, MD

Urology Physician · Coto Laurel, PR

Kermith Rafael Ayala, MD is a urology physician with a practice address in Coto Laurel, Puerto Rico, and NPI 1306247606, issued on Sep 6, 2014. Check the license (Puerto Rico 22282, as entered in NPPES) with the Puerto Rico board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306247606
Name
Kermith Rafael Ayala
Credential
MD
Primary taxonomy
Urology Physician 208800000X
License number
22282 PR
Self-reported in NPPES; status is on the state search
Practice location
Torre San Cristobal, Coto Laurel, PR 00780
Phone
(787) 429-5871
Enumerated
Sep 6, 2014
Record last updated
Aug 1, 2022
Medicare enrollment
Enrolled (PECOS I20220831002041); accepts Medicare assignment
Medical or professional school
University Of Puerto Rico School Of Medicine, 2016
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at Torre San Cristobal

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Hector Diaz Lopez, MDObstetrics & Gynecology Physician1578595385
  2. Mauro Fernandez-Gonzalez, M.D.Orthopaedic Surgery Physician1538366455
  3. Rafael Fernandez-Soltero, MDOrthopaedic Surgery Physician1336105428
  4. Luis Irizarry-PabonInternal Medicine Physician1508822370
  5. Lilliam Lemell, DPM, MPHPodiatrist1912980301
  6. Juanita Leon, MDPsychiatry Physician1639250723

Verify Kermith Rafael Ayala in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Puerto Rico board licenses this profession
    Search for license 22282
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Puerto Rico license search

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4.1 times the Medicare Part D claims of the average urology physician in 2024

5,498 Medicare Part D claims for 1,358 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims.

  1. Kermith Ayala5,498
  2. Specialty average1,340

Most prescribed

  1. Tamsulosin Hcl1,790 claims
  2. Tolterodine Tartrate Er1,006 claims
  3. Finasteride473 claims
  4. Amoxicillin-Clavulanate Potass282 claims
  5. Ciprofloxacin Hcl262 claims
  6. Sulfamethoxazole-Trimethoprim237 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $265.27

6 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kermith Ayala$265.27
  2. Specialty average$3,800.04

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Kermith Rafael Ayala among 115 urology physician records in Puerto Rico

Kermith Rafael Ayala, MD is one of 115 urology physician records with a practice address in Puerto Rico. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 80% of them.

  • NPI issued2014 · 80% of these records are older, 16% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2016 · median 1995 among the 83 with a school on file
  • Record last updated2022 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Puerto Rico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

2 urology physician records list a practice address in Coto Laurel

They are 2 of the 139 NPPES records with a practice address in Coto Laurel, and 115 urology physician records in Puerto Rico.

The 8 urology physician records with the nearest ZIP codes

  1. Ramon Rodriguez Rivas, MDCoto Laurel, PR 007801770688509
  2. Alberto Corica Guinle, M.D.Guayama, PR 007841336280429
  3. Ramphis Morales Lopez, M.D.Guayama, PR 007841730508706
  4. Gordon Macdonald, M.D.Humacao, PR 007911669417564
  5. Ramon Sepulveda-Abreu, M.D.Humacao, PR 007911558359927
  6. Miguel Sosa, M.D.Humacao, PR 007921467519561
  7. Jose Rivera Colon, M.D.Barranquitas, PR 007941699782862
  8. Rafael Carrillo-Carambot, MDFajardo, PR 007381700868031

Common questions

What is Kermith Rafael Ayala, MD's NPI number?

Kermith Rafael Ayala, MD's National Provider Identifier (NPI) is 1306247606, issued on Sep 6, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Kermith Rafael Ayala, MD located?

The NPPES record lists a practice address at Torre San Cristobal, Coto Laurel, PR, 00780. Phone: (787) 429-5871. Providers update this record themselves, so call before visiting.

How can I verify Kermith Rafael Ayala, MD's license?

NPPES lists Puerto Rico license number 22282, as entered by the provider. Search the Puerto Rico board that licenses this profession; the NPPES record confirms identity only.

How much does Kermith Rafael Ayala, MD prescribe under Medicare Part D?

In 2024, Kermith Rafael Ayala, MD had 5,498 Medicare Part D claims for 1,358 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.