Individual provider Active NPI

Luis A Rondon, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1225013691
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7717 Issued in PR
Practice address
2100 2ND St. SW
HSWL-Fo National Capital Area
Washington, DC 20593
Phone
(202) 372-4100
Fax
(202) 372-4910
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 7717 PR
Family Medicine Physician 207Q00000X 7717 PR Primary

Addresses

Primary practice location

2100 2ND St. SW
HSWL-Fo National Capital Area
Washington, DC 20593

Mailing address

2300 Wilson Blvd Suite 500
US Coast Guard Recruiting Command
Arlington, VA 20598-7500
Phone (703) 235-1745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7717PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1225013691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WILSON BLVD SUITE 500",
            "address_2": "US COAST GUARD RECRUITING COMMAND",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "205987500",
            "telephone_number": "703-235-1745",
            "fax_number": "703-235-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 2ND ST. SW",
            "address_2": "HSWL-FO NATIONAL CAPITAL AREA",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20593",
            "telephone_number": "202-372-4100",
            "fax_number": "202-372-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDON",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PR",
            "license": "7717",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "7717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.