Healthcare Provider Details

I. General information

NPI: 1326492489
Provider Name (Legal Business Name): JOEL RODRIGUEZ RAMOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE PASEO DEL PUEBLO, FISA 1 PR 54 KM 2.2
GUAYAMA PR
00784-6102
US

IV. Provider business mailing address

381 AVE DONA FELISA RINCON DE APT 501
SAN JUAN PR
00926-6661
US

V. Phone/Fax

Practice location:
  • Phone: 787-522-2482
  • Fax: 787-622-0485
Mailing address:
  • Phone: 787-236-4506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number019578
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number019578
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number13909-I
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number019578
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number019578
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: