Individual provider Active NPI

Amadis Rodriguez Hoyos

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1528707676
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3442 Issued in PR
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

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706001456 PR Practitioner - Dentist 5395104574 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3442PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Smile Spa, LLC General Practice PastSince May 28, 2023 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

Sources for this page

Verify at the official NPI Registry.