Ronaldo V Dejesus, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RONALDO V DEJESUS, MD, PC

Practice address

74186 Tallassee Hwy
Wetumpka, AL 36092-5643

Phone

(334) 567-0346

Fax

(334) 567-0855

NPI assigned

Jan 10, 2007

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronaldo V Dejesus, MD

Title

President

Phone

(334) 567-0346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1093865578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "address_2": "SUITE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-270-9914",
            "fax_number": "334-270-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74186 TALLASSEE HWY",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925643",
            "telephone_number": "334-567-0346",
            "fax_number": "334-567-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALDO V DEJESUS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-567-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.