Juan Roberto Matos-Robles, D.D.S., M.P.H.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1903 Issued in PR

Practice address

500 Ave Comerio
Davison Plaza #3
Toa Baja, PR 00949-4060

Phone

(787) 261-1370

Fax

(787) 784-8383

NPI assigned

Jun 14, 2006

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1043253248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE COMERIO",
            "address_2": "DAVISON PLAZA #3",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494060",
            "telephone_number": "787-261-1370",
            "fax_number": "787-784-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE COMERIO",
            "address_2": "DAVISON PLAZA #3",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494060",
            "telephone_number": "787-261-1370",
            "fax_number": "787-784-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS-ROBLES",
        "first_name": "JUAN",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marangely De Lourdes Martinez Justiniano
• Isis C Martinez-Soto
• Janette Marie Martinez
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• Yesenia Martinez, PSYD
• Maximal Therapy Group, P S C
• Alfredo Ramon Mayorca, MD
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• Juan Carlos Maysonet, D.D.S
• Med Call Corp.

• General Practice Dentistry in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.