Enrique Jose Rodriguez, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

1172 Issued in PR

Practice address

M-73 Santa Juanita Ave
Bayamon, PR 00956

Phone

(787) 798-9700

NPI assigned

Dec 19, 2006

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

Other names 1

• Dr. Enrique Jose Rodriguez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407919657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9020010",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009020010",
            "telephone_number": "787-782-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M-73 SANTA JUANITA AVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-798-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ENRIQUE",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENRIQUE",
            "last_name": "RODRIGUEZ",
            "middle_name": "JOSE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carol Marie Rodriguez, MS
• Charieliz Eileen Rodriguez
• Damaris Rodriguez, PT
• David Daniel Rodriguez, MD
• Dunia De la Caridad Rodriguez, DMD
• Eva Liz Rodriguez, O.T.L.
• Felix Rodriguez, PT
• Francisco Rodriguez
• Helga Soe Rodriguez, M.D
• Irsa Maria Rodriguez

• Prosthodontics in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Prosthodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.