Active NPI
Luis A Rondon, M.D.
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1225013691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7717 | PR | MD | Family 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.