MEDICARE: DR. JOEL A RODRIGUEZ RIOS D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	2823	PR

General Provider Information

NPI Number	:	1558515692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL A RODRIGUEZ RIOS D.M.D

Provider Business Mailing Address
First Line	:	1995 CARR 2 STE 1808
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-5088
Country	:	US
Telephone Number	:	787-963-0666
Fax Number	:

Provider Business Practice Location Address
First Line	:	1995 CARR 2 STE 1808
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-5088
Country	:	US
Telephone Number	:	787-963-0666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2008
Last Update Date	:	03/03/2026

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