Healthcare Provider Details

I. General information

NPI: 1841116811
Provider Name (Legal Business Name): RC ADVANCED RADIOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1798 CALLE LLANURA
PONCE PR
00730-4141
US

IV. Provider business mailing address

1798 CALLE LLANURA
PONCE PR
00730-4141
US

V. Phone/Fax

Practice location:
  • Phone: 787-602-1122
  • Fax:
Mailing address:
  • Phone: 787-602-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: RUBEN J CRUZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-602-1122