Organization Active NPI

RCC Urology, LLC

  • Urology Physician
  • San Juan, PR
National Provider Identifier
1649676628
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
17605 Issued in PR
Legal business name
RCC UROLOGY, LLC
Practice address
1910 Ave Jesus T Pinero
Altamira Reserve Suite 211
San Juan, PR 00921-1100
Phone
(787) 680-7525
Fax
(787) 680-7526
NPI assigned
Nov 18, 2014
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Ronald G Cadillo-ChavezNPI 1841492550
Title
President
Phone
(787) 680-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 17605 PR Primary

Addresses

Primary practice location

1910 Ave Jesus T Pinero
Altamira Reserve Suite 211
San Juan, PR 00921-1100

Mailing address

1353 Ave Luis Vigoreaux
PMB 693
Guaynabo, PR 00966-2715
Phone (787) 680-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151015001969 PR Part B Supplier - Clinic/Group Practice 8628387545 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

100 Paseo San Pablo
Ste 406
Bayamon, PR 00961
Phone (787) 395-7072

1910 Ave Jesus T Pinero
Ste 211
San Juan, PR 00921
Phone (787) 680-7525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1649676628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE LUIS VIGOREAUX",
            "address_2": "PMB 693",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-680-7525",
            "fax_number": "787-680-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 AVE JESUS T PINERO",
            "address_2": "ALTAMIRA RESERVE SUITE 211",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211100",
            "telephone_number": "787-680-7525",
            "fax_number": "787-680-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCC UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "CADILLO-CHAVEZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-680-7525"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "17605",
            "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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.