Healthcare Provider Details

I. General information

NPI: 1215923883
Provider Name (Legal Business Name): HECTOR LUIS JOY D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

I24 CALLE 3 URB. FLAMBOYAN
MANATI PR
00674-5438
US

IV. Provider business mailing address

PO BOX 982
MANATI PR
00674-0982
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-5542
  • Fax: 787-884-7189
Mailing address:
  • Phone: 787-884-5542
  • Fax: 787-884-7189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number1401
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: