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Ronaldo San Juan, MD
Interventional Cardiology Physician in Troy, Michigan
NPI 1629172317

Ronaldo San Juan is a Interventional Cardiology Physician based in Troy, MI and is specialized in Interventional Cardiology. Ronaldo San Juan practices in Troy, MI and has the professional credentials of MD. The NPI Number for Ronaldo San Juan is 1629172317 and holds a License No. 4301031888 (Michigan).

The current practice location address for Ronaldo San Juan is 500 Kirts Blvd, Troy, MI and can be reached out via phone at 248-824-6299 and via fax at 248-479-0525. You can also correspond with Ronaldo San Juan through the mailing address at PO BOX 1239, TROY, MI - 48099-1239 (mailing address contact number: 248-824-6600).

Location: 500 Kirts Blvd, Troy, MI, 48099-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629172317
Provider Name
Ronaldo San Juan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Kirts Blvd, Troy, MI, 48099-1239
Phone Number
248-824-6299
Fax Number
248-479-0525
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4362240 05 MI
010065414 01 MI RR MEDICARE
700F374320 01 MI BCBS OF MI GROUP #
institution
Provider Business Practice Location Address Details
Address
500 Kirts Blvd
City
Troy
State
Michigan
Zip
48084-4134
Phone Number
248-824-6299
Fax Number
248-479-0525
person
Provider Business Mailing Address Details
Address
Po Box 1239
City
Troy
State
Michigan
Zip
48099-1239
Phone Number
248-824-6600
Fax Number
248-324-1477
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
4301031888 (Michigan)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301031888 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301031888 (Michigan)
Definition
Definition to come...
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