Individual provider Active NPI

Edwin Rodriguez Aponte Jr., M.D.

  • Radiation Oncology Physician
  • Arecibo, PR
National Provider Identifier
1326081563
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
12829 Issued in PR
Practice address
Ave San Luis 750
Carr 129 KM 0 9 Bo Hato Arriba
Arecibo, PR 00612-2500
Phone
(787) 650-6070
Fax
(787) 650-6074
NPI assigned
Jun 14, 2006
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 12829 PR Primary

Addresses

Primary practice location

Ave San Luis 750
Carr 129 KM 0 9 Bo Hato Arriba
Arecibo, PR 00612-2500

Mailing address

PO Box 142500
Arecibo, PR 00614-2501
Phone (787) 650-6070

Other identifiers 4

IdentifierTypeStateIssuer
061631OtherPRLA CRUZ AZUL DE PUERTO RI
89870OtherPRTRIPLE S
89870OtherPRTRIPLE S MEDICARE OPTIMO
89870OtherPRTRIPLE C

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000081 PR Practitioner - Radiation Oncology 4981507084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Ponce School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Carr
Aguadilla, PR 00605
Phone (787) 658-5555

Carr 10 KM
Arecibo, PR 00612
Phone (787) 650-6070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12829PRMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrohealth Radiation Oncology Group, Inc. CurrentSince Jun 9, 2018 Accepting new patients
Northern Radiotherapy Cancer Center, P.S.C. Radiation Therapy CurrentSince Aug 8, 2017 Accepting new patients
Metrohealth Radiation Oncology Group, Inc. CurrentSince Jun 9, 2018 Accepting new patients
Metrohealth Radiation Oncology Group, Inc. Radiation Oncology Current Accepting new patients
Centro Imagenes del Oeste Past Accepting new patients
Metrohealth Radiation Oncology Group, Inc. Past Accepting new patients
Neuro Radio Surgery Group Radiation Therapy Past Accepting new patients

Locations

750 Ave San Luis
Arecibo, PR 00612
Phone (787) 650-6070

750 Ave San Luis
#129
Arecibo, PR 00612

1785 Carr 21
San Juan, PR 00921
Phone (787) 356-0588

Interoperability endpoints

  • Direct secure messaging: erodriguez@rtcionline.direct.varian.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1326081563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142500",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142501",
            "telephone_number": "787-650-6070",
            "fax_number": "787-650-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SAN LUIS 750",
            "address_2": "CARR 129 KM 0 9 BO HATO ARRIBA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122500",
            "telephone_number": "787-650-6070",
            "fax_number": "787-650-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ APONTE",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PR",
            "license": "12829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PUERTO RI",
            "identifier": "061631",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "89870",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S MEDICARE OPTIMO",
            "identifier": "89870",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE C",
            "identifier": "89870",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.