Healthcare Provider Details

I. General information

NPI: 1285382580
Provider Name (Legal Business Name): JOSE LUIS BAEZ RIOS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AK2 AVE SANTA JUANITA
BAYAMON PR
00956-4589
US

IV. Provider business mailing address

VILLA DEL MONTE 291 MONTE VERDE
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 939-351-9724
  • Fax:
Mailing address:
  • Phone: 787-908-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number847
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: