Active NPI
Jerry Luis Leon - Rodriguez, M.D.
- Specialist
- Ponce, PR
National Provider Identifier
1750370284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13986
- 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
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 |
|---|---|---|---|---|
| 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.