Active NPI
Benjamin David Weinberg, M.D., M.A., FACR
- Radiation Oncology Physician
- San Juan, PR
National Provider Identifier
1295052264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 21331
- Practice address
- 1785 Carr 21 Ste 95
San Juan, PR 00921-3399 - Phone
- (787) 621-5555
- NPI assigned
- Apr 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2014-02489 | NC | |
| Radiation Oncology Physician | 2085R0001X | 21331 | PR | Primary |
Addresses
Primary practice location
1785 Carr 21 Ste 95
San Juan, PR 00921-3399
Mailing address
PO Box 191625
San Juan, PR 00919-1625
Phone (787) 621-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrohealth Radiation Oncology Group, Inc. | Single Specialty | Current | Accepting new patients |
| Metrohealth Radiation Oncology Group, Inc. | Single Specialty | Current | Accepting new patients |
| Metrohealth Radiation Oncology Group, Inc. | Single Specialty | Past | Accepting new patients |
| Metrohealth Radiation Oncology Group, Inc. | Single Specialty | Past | Accepting new patients |
Locations
1785 Carr 21
Ste 95
San Juan, PR 00921
Phone (787) 621-5555
1785 Carr 21
San Juan, PR 00921
Phone (787) 706-0981
Interoperability endpoints
- bweinberg@rtcionline.direct.varian.com
Organizations & group practices 4
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": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1295052264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191625",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191625",
"telephone_number": "787-621-5555",
"fax_number": "787-621-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 CARR 21 STE 95",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213399",
"telephone_number": "787-621-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "BENJAMIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D., M.A., FACR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-29",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2014-02489",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "PR",
"license": "21331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.