Provider Demographics
NPI:1326081563
Name:RODRIGUEZ APONTE, EDWIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:
Last Name:RODRIGUEZ APONTE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142500
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2501
Mailing Address - Country:US
Mailing Address - Phone:787-650-6070
Mailing Address - Fax:787-650-6074
Practice Address - Street 1:AVE SAN LUIS 750
Practice Address - Street 2:CARR 129 KM 0 9 BO HATO ARRIBA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-2500
Practice Address - Country:US
Practice Address - Phone:787-650-6070
Practice Address - Fax:787-650-6074
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR128292085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR061631OtherLA CRUZ AZUL DE PUERTO RI
PR89870OtherTRIPLE S
PR89870OtherTRIPLE S MEDICARE OPTIMO
PR89870OtherTRIPLE C
PR061631OtherLA CRUZ AZUL DE PUERTO RI