Active NPI
Amadis Rodriguez Hoyos
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1528707676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3442
- Practice address
- 374 CLL Soldado Rafael Lamar Guerra
San Juan, PR 00918 - Phone
- (787) 767-7471
- NPI assigned
- May 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3442 | PR | Primary |
Addresses
Primary practice location
374 CLL Soldado Rafael Lamar Guerra
San Juan, PR 00918
Mailing address
De Diego 444 Apt. 1909
San Juan, PR 00923
Phone (787) 504-5070
Other practice location 1
Puerto Rico Correctional Health Services Corp.
Carr. #5 Avenida Central Juanita Final
Bayamon, PR 00960
Phone (787) 774-3344
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230706001456 | PR | Practitioner - Dentist | 5395104574 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3442 | PR | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Smile Spa, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1528707676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DE DIEGO 444 APT. 1909",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00923",
"telephone_number": "787-504-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 CLL SOLDADO RAFAEL LAMAR GUERRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-767-7471"
}
],
"practiceLocations": [
{
"address_1": "Puerto Rico Correctional Health Services Corp.",
"address_2": "Carr. #5 Avenida Central Juanita Final",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "00960",
"country_code": "US",
"telephone_number": "787-774-3344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ HOYOS",
"first_name": "AMADIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-27",
"last_updated": "2023-06-15",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "3442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Ricardo Mario Rodriguez Guzman
- Jatmarie Rodriguez Hance, PSYD
- Aida Maria Rodriguez Hernandez, M.D.
- Heidy M Rodriguez Hernandez, MD
- Yimara M. Rodriguez Hernandez
- Sharleen Del Carmen Rodriguez Irizarry
- Mary Ann Rodriguez Juarbe, MD
- Maria Del C. Rodriguez Julbe, M.D.
- Fernando Alan Rodriguez Laguna, MD
- Mariana Rodriguez Leon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.