Julio David Rios Rosa, DENTISTA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1156 Issued in PR

Practice address

Ave. Juan Hernandez Ortiz
Centro Comercial Coop Ofic 205
Isabela, PR 00662

Phone

(787) 872-3560

Fax

(787) 872-3560

NPI assigned

Feb 20, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Isabela Dental Clinic

  • Dental Clinic/Center
  • Isabela, PR
  • NPI 1144413535
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508900606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 7583",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-3560",
            "fax_number": "787-872-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. JUAN HERNANDEZ ORTIZ",
            "address_2": "CENTRO COMERCIAL COOP OFIC 205",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-3560",
            "fax_number": "787-872-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS ROSA",
        "first_name": "JULIO",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "DENTISTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nairobbie Reyes Lopez
• Yahaira Reyes Nieves, PHD
• Denisse Reyes Rivas, MD
• Ricardo Velez
• Jennifer Rios Rodriguez, M.S.W
• Lorraine Marie Rios, PHD
• Rafael Angel Riquelme-Abrams, PSY.D.
• Virginia Isa Rivas, MHSN, LND
• Santiago Rivera Ortega, MD
• Jeannette Rivera Perez

• General Practice Dentistry in Isabela, PR
• Providers in Isabela, 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 Jul 8, 2007; 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.