Healthcare Provider Details

I. General information

NPI: 1558515692
Provider Name (Legal Business Name): JOEL A RODRIGUEZ RIOS D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2008
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 CARR 2 STE 1808
BAYAMON PR
00959-5088
US

IV. Provider business mailing address

1995 CARR 2 STE 1808
BAYAMON PR
00959-5088
US

V. Phone/Fax

Practice location:
  • Phone: 787-963-0666
  • Fax:
Mailing address:
  • Phone: 787-963-0666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number2823
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: