Active NPI
Joshua Louis Rodriguez-Lopez, M.D.
- Radiation Oncology Physician
- San Juan, PR
National Provider Identifier
1114473097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 021264
- Practice address
- 10 Calle Casia
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- NPI assigned
- Aug 30, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT214392 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Radiation Oncology Physician | 2085R0001X | 021264 | PR | Primary |
Addresses
Primary practice location
10 Calle Casia
San Juan, PR 00921-3200
Mailing address
10 Calle Casia
San Juan, PR 00921-3200
Other practice location 1
Ave Ponce de Leon, Parada 37 1/2
Hospital Auxilio Mutuo
San Juan, PR 00919-1227
Phone (787) 758-2000
Other practice location 2
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-6340
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021264 | PR | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Radioterapia Avanzada del Este, PSC | Current | Accepting new patients |
Locations
55 Calle Antonio Lopez S
Humacao, PR 00791
Phone (787) 719-2300
Organizations & group practices 2
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.
-
- Radiation Oncology Clinic/Center
- Humacao, PR
- NPI 1962777052
-
- Specialist
- San Juan, PR
- NPI 1952388258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1114473097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [
{
"address_1": "Ave Ponce de Leon, Parada 37 1/2",
"address_2": "Hospital Auxilio Mutuo",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009191227",
"country_code": "US",
"telephone_number": "787-758-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Forbes Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152133410",
"country_code": "US",
"telephone_number": "412-647-6340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ-LOPEZ",
"first_name": "JOSHUA",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT214392",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PR",
"license": "021264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Karina Rodriguez-Juan, MD
- Alejandro Rodriguez-Lafontaine, MSPT
- Maritza Rodriguez-Lazu, PSY.D., CGG
- Reynaldo Rodriguez-Llauger, M.D.
- Ibis Noelia Rodriguez-Longo, PHARMD
- Mary Joahn Rodriguez-Malave, MD, MPH
- Karen A Rodriguez-Maldonado, PHARM D.
- Maribel Rodriguez-Martinez, M.D.
- Yaraliz Rodriguez-Martinez, R.PH.
- Jose M. Rodriguez-Medina, MD, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.