San Juan, Ronaldo

San Juan, Ronaldo is an individual health care provider with primary practice located at 500 Kirts Blvd , Troy MI 48084-4134. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. San Juan, Ronaldo can be contacted via phone (248) 824-6299.

Contact Information

Primary practice address
500 Kirts Blvd Troy MI 48084-4134
Phone: (248) 824-6299
Fax: (248) 479-0525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301031888 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301031888 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301031888 Michigan

Profile Details

NPI number 1629172317
LBN Legal business name San Juan, Ronaldo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629172317 NPPES
Michigan MEDICAID 4362240
Michigan Other 010065414
Michigan Other 700F374320

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