RONALDO SAN JUAN MD
NPI 1629172317
Radiology - Diagnostic Radiology in Troy, MI

Active since September 12, 2006
500 KIRTS BLVD, TROY, MI 48084(248) 824-6299(248) 479-0525 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ronaldo San Juan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALDO SAN JUAN MD (NPI 1629172317) is an individual diagnostic radiology provider in Troy, Michigan, licensed in Michigan (4301031888) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1629172317
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameRONALDO SAN JUANCredential: MD
Location Address500 KIRTS BLVDTroy, MI 48084-4134
Mailing AddressPo Box 1239Troy, MI 48099-1239 · (248) 824-6600 · Fax (248) 324-1477
Fax(248) 479-0525
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateAugust 28, 2012
NPI 1629172317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301031888
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 4301031888 (MI)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301031888 (MI)
500 KIRTS BLVD, Troy, MI 48084

Other Identifiers 5

Other010065414MI · Rr Medicare
Medicare ID-Type UnspecifiedF37432094MI
Medicaid4362240MI
Other700F374320MI · Bcbs Of Mi Group #
Medicare UPINA76801MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
500 KIRTS BLVD
TROY, MI 48084
Internal Medicine
500 KIRTS BLVD, SUITE 200
TROY, MI 48084
General Practice
500 KIRTS BLVD, SUITE 200
TROY, MI 48084
Pathology (Anatomic Pathology & Clinical Pathology)
500 KIRTS BLVD
TROY, MI 48084
Pharmacist
500 KIRTS BLVD
TROY, MI 48084
Pharmacist
500 KIRTS BLVD, STE 300
TROY, MI 48084
Internal Medicine
500 KIRTS BLVD, SUITE 200
TROY, MI 48084
Family Medicine
500 KIRTS BLVD, SUITE 200
TROY, MI 48084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronaldo San Juan's NPI number?

The NPI number for Ronaldo San Juan is 1629172317. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Ronaldo San Juan located?

Ronaldo San Juan practices at 500 Kirts Blvd, Troy, MI 48084. The listed phone number is (248) 824-6299.

What is Ronaldo San Juan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Ronaldo San Juan was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.