Individual provider Active NPI

Jerry Luis Leon - Rodriguez, M.D.

  • Specialist
  • Ponce, PR
National Provider Identifier
1750370284
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13986 Issued in PR
Practice address
Condominio San Vicente Ste 211
8169 Calle Concordia
Ponce, PR 00717-1564
Phone
(787) 843-5420
Fax
(787) 848-5287
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13986 PR Primary

Addresses

Primary practice location

Condominio San Vicente Ste 211
8169 Calle Concordia
Ponce, PR 00717-1564

Mailing address

Costa Caribe Resort
1253 Don Quijote St.
Ponce, PR 00716
Phone (787) 675-7706

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750370284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COSTA CARIBE RESORT",
            "address_2": "1253 DON QUIJOTE ST.",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-675-7706",
            "fax_number": "787-844-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO SAN VICENTE STE 211",
            "address_2": "8169 CALLE CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171564",
            "telephone_number": "787-843-5420",
            "fax_number": "787-848-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON - RODRIGUEZ",
        "first_name": "JERRY",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "13986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.