Individual provider Active NPI

Mari Tere Garcia-Rondon, MD

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1013984004
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12865 Issued in PR
Practice address
Torre del Metropolitano
Suite 408
San Juan, PR 00926
Phone
(787) 455-9535
Fax
(787) 455-9389
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 12865 PR
Pain Medicine Physician 208VP0000X 12865 PR
Neurology Physician 2084N0400X 12865 PR Primary

Addresses

Primary practice location

Torre del Metropolitano
Suite 408
San Juan, PR 00926

Mailing address

PO Box 40760
Mesa, AZ 85274
Phone (480) 706-9430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000028 PR Practitioner - NeurologyPractitioner - Pain Management 3971538703 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
University of Puerto Rico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torre del Metropolitano
San Juan, PR 00921
Phone 78745595350000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12865PRMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1013984004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40760",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85274",
            "telephone_number": "480-706-9430",
            "fax_number": "480-461-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE DEL METROPOLITANO",
            "address_2": "SUITE 408",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-455-9535",
            "fax_number": "787-455-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-RONDON",
        "first_name": "MARI",
        "middle_name": "TERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PR",
            "license": "12865",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PR",
            "license": "12865",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "12865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.