Individual provider Active NPI

Benjamin David Weinberg, M.D., M.A., FACR

  • Radiation Oncology Physician
  • San Juan, PR
National Provider Identifier
1295052264
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
21331 Issued in PR
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

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2014-02489 NC
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metrohealth Radiation Oncology Group, Inc. Single Specialty CurrentSince Jun 1, 2019 Accepting new patients
Metrohealth Radiation Oncology Group, Inc. Single Specialty CurrentSince Jun 1, 2019 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.