Edgardo Joseph Rodriguez Monge, MD

Individual provider Active NPI Hematology & Oncology Physician · Caguas, PR

NPI 1982736146 · NPPES record last updated Oct 31, 2013

Key facts

NPI
1982736146
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
12477 (PR)
Practice address
Luis Munoz Marin Ave
Suite 907
Caguas, PR 00725
Phone
(787) 744-8686
Fax
(787) 258-1125
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Hematology/Oncology
Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hematology and Oncology of Puerto Rico (6 clinicians)

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
FL G
Caguas, PR 00725-6184
Phone (787) 744-8686

Hospital & facility affiliations

  • Hospital Pavia Caguas Hospital · Caguas, PR · CCN 400120

Merit-based Incentive Payment System (MIPS)

Final score
72.03 of 100 (group)
Quality
40.6
Promoting interoperability
99
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110524000139 PR Practitioner - Hematology/Oncology
Practitioner - Internal Medicine
9638230410 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hematology and Oncology of Puerto Rico Hematology & Oncology Current
since Mar 15, 2001
Accepting new patients
Advanced Hematology and Oncology Group of PR Past Accepting new patients

Locations

500 Ave Degetau
Ste 515
Caguas, PR 00725

100 Ave Luis Munoz Marin
Fl G
Caguas, PR 00725

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 12477 PR Yes

Addresses

Primary practice location

Luis Munoz Marin Ave
Suite 907
Caguas, PR 00725

Mailing address

PO Box 5429
Caguas, PR 00726-5429
Phone (787) 744-8686

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2013.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1982736146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5429",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265429",
            "telephone_number": "787-744-8686",
            "fax_number": "787-258-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUIS MUNOZ MARIN AVE",
            "address_2": "SUITE 907",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-8686",
            "fax_number": "787-258-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MONGE",
        "first_name": "EDGARDO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "12477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

All providers in Caguas, PR · Hematology & Oncology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.