Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Carlos Mauricio Rondon Clavo, MD

Individual provider Physician Assistant · NPI 1356763163

Carlos Mauricio Rondon Clavo, MD is a Physician Assistant in New York, New York. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1161 York Ave Apt 7A
New York, NY 10065-7940 Not confirmed with CMS for 12 years — call before visiting
Phone: (917) 226-9252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1356763163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 14, 2014
Last updated in NPPESJanuary 14, 2014

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