Individual provider Active NPI

Jose Angel Ronda Rodriguez, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1104652999
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24272 Issued in PR
Practice address
839 Calle Anasco Apt 1002
San Juan, PR 00925-2456
Phone
(787) 955-5741
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 24272 PR Primary

Addresses

Primary practice location

839 Calle Anasco Apt 1002
San Juan, PR 00925-2456

Mailing address

839 Calle Anasco Apt 1002
San Juan, PR 00925-2456
Phone (787) 955-5741

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
I20250828005486 PR Practitioner - General Practice 9436650637 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

839 Calle Aasco
Apt 1002
San Juan, PR 00925

839 Calle Anasco
Apt 1002
San Juan, PR 00925

Ave Kennedy New Port IV
Calle San Luis Suite 202
San Juan, PR 00920-0092
Phone (787) 705-5634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24272PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Varmed Management Group Corp General Practice PastSince Dec 7, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1104652999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 CALLE ANASCO APT 1002",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252456",
            "telephone_number": "787-955-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 CALLE ANASCO APT 1002",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252456",
            "telephone_number": "787-955-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDA RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.