Individual provider Active NPI

Wanda M Aymat Rodriquez, DMD

  • Endodontics
  • Vega Baja, PR
National Provider Identifier
1831195064
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2306 Issued in PR
Practice address
Betances 38B
Vega Baja, PR 00693-4308
Phone
(787) 855-3996
Fax
(787) 855-4346
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2306 PR Primary

Addresses

Primary practice location

Betances 38B
Vega Baja, PR 00693-4308

Mailing address

Vias Paseo Sol #40
200 Blvd de la Fuente
San Juan, PR 00926-5988
Phone (787) 855-3996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831195064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIAS PASEO SOL #40",
            "address_2": "200 BLVD DE LA FUENTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265988",
            "telephone_number": "787-855-3996",
            "fax_number": "787-855-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BETANCES 38B",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934308",
            "telephone_number": "787-855-3996",
            "fax_number": "787-855-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYMAT RODRIQUEZ",
        "first_name": "WANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.