Doctor profile · Federal record

Dr. Joel Ramos Ayala, M.D.

In Vivo & in Vitro Nuclear Medicine Physician (CMS: Nuclear Medicine) · Internal Medicine Physician · San Juan, PR

  • NPI 1457344509
  • Accepts Medicare
  • 34 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
Calle Parana 1716, Urb. El Cerezal
San Juan, PR 009263148
(787) 766-2200
fax (787) 766-8548

Credentials & registration

NPPES · NUCC
NPI registered
August 2005 — 21 yrs on file
Profile last updated
May 17, 2016
Year of graduation
1992 — 34 yrs since
Specialty taxonomy
207UN0903X — NUCC code
State license (1)
Puerto Rico #11877

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1457344509. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
225
Distinct HCPCS
5
Medicare allowed
$17,696
HCPCS Description Services Patients Avg allowed
J1245 Injection, dipyridamole, per 10 mg 104 22 $3
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 53 27 $106
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect 26 26 $413
96374 Injection of drug or substance into vein 22 22 $37
J0280 Injection, aminophyllin, up to 250 mg 20 20 $10

In context: peer comparison

Among 1 peers in San Juan In Vivo & in Vitro Nuclear Medicine Physician, average services per provider: 45. This provider delivers 5.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$29
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Gilead Sciences, INC. 1 $29.34

By nature of payment

Food and Beverage
$29

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
737
Patients
120
Total drug cost
$31,008
Drug Type Claims Patients Total cost
Gabapentin Generic 86 18 $737
Synthroid (Levothyroxine Sodium) Brand 80 18 $5,624
Lisinopril Generic 63 14 $261
Metformin Hcl Generic 63 14 $288
Losartan Potassium Generic 59 15 $717
Atorvastatin Calcium Generic 58 17 $556
Metoprolol Succinate Generic 58 11 $956
Famotidine Generic 47 0 $546
Furosemide Generic 37 0 $127
Montelukast Sodium Generic 37 13 $263

Frequently asked questions

Auto-generated from federal data
What is Dr. Joel Ramos Ayala's medical specialty?
Dr. Joel Ramos Ayala practices In Vivo & in Vitro Nuclear Medicine Physician in San Juan, PR.
Where does Dr. Joel Ramos Ayala practice?
Dr. Joel Ramos Ayala practices at Calle Parana 1716, San Juan, PR 009263148. Office phone: 7877662200.
What is Dr. Joel Ramos Ayala's NPI?
Dr. Joel Ramos Ayala's National Provider Identifier (NPI) is 1457344509, issued by NPPES.
Does Dr. Joel Ramos Ayala accept Medicare assignment?
Yes. Dr. Joel Ramos Ayala accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Joel Ramos Ayala commonly perform?
Top Medicare-reported procedures in 2023: Injection, dipyridamole, per 10 mg (HCPCS J1245); Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS A9500); Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS 78452). Source: CMS Medicare Physician & Other Practitioners file.