MEDICARE: RC ADVANCED RADIOTHERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1841116811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RC ADVANCED RADIOTHERAPY LLC

Provider Business Mailing Address
First Line	:	1798 CALLE LLANURA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-4141
Country	:	US
Telephone Number	:	787-602-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	1798 CALLE LLANURA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-4141
Country	:	US
Telephone Number	:	787-602-1122
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUBEN J CRUZ
Credential	:	MD
Telephone Number	:	787-602-1122

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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