Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ronaldo B Supena, MD

Individual provider Infectious Disease Physician · NPI 1275576886

Ronaldo B Supena, MD is an Infectious Disease in Detroit, Michigan. Qualified in 1965, 61 years ago. Practices with Detroit Community Health Connection Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
61
Licensed in
MI
In the registry since
2006
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

611 Martin Luther King Jr Blvd
Detroit, MI 48201-2273
Phone: (313) 832-6300
Fax: (313) 832-2075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 4301032101 (MI)

Record details

NPI number1275576886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2006
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 1965 (61 years in practice)
Group practice Detroit Community Health Connection Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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