Individual provider Active NPI

Juan Carlos Rondon, MD

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1245284181
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79915 Issued in FL
Practice address
130 3157 N University Dr
Hollywood, FL 33024-2258
Phone
(954) 322-8985
Fax
(954) 322-8981
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79915 FL Primary

Addresses

Primary practice location

130 3157 N University Dr
Hollywood, FL 33024-2258

Mailing address

103 3157 N University Dr
Hollywood, FL 33024-2258
Phone (954) 322-8985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040623001455 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 2668457771 Reassigns benefits to 4 organizations
I20260622003912 SC Practitioner - Internal Medicine 2668457771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Arley Way
Suite 101
Bluffton, SC 29910-8860

3157 N University Dr
Suite 103
Hollywood, FL 33024-2258
Phone (954) 322-8985

4880 SW 161St LN
Miramar, FL 33027-4935

Hospital & facility affiliations

  • Community Care Providers, Inc. Home health agency, Pembroke Pines, FL, CCN 109241
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Panam Coastal Health Care PA Internal Medicine Current Accepting new patients
Lee Memorial Health System Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Lee Memorial Health System CurrentSince Dec 1, 2015 Accepting new patients
In the Image of Christ Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

3090 Avenue G
Fort Pierce, FL 34947
Phone (772) 448-8496

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIIFDD/Endpoint/DIIFDD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1245284181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 3157 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-322-8985",
            "fax_number": "954-322-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 3157 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-322-8985",
            "fax_number": "954-322-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDON",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.