Active NPI
Jose Angel Ronda Rodriguez, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1104652999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24272
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 24272 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varmed Management Group Corp | General Practice | Past | 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.
-
- General Practice Physician
- San Juan, PR
- NPI 1427541291
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.