Ponce Advance Medical Group
Clinic/Center, Primary Care in Ponce, Puerto Rico
1104049121- Practice location
- Calle Ferrocarril Int Ave Munoz Rivera, Centro Comercial Santa Maria Local 4, Ponce, PR 00717-4105
- Phone
- 787-651-4544
- Fax
- —
- Last updated
- August 29, 2025
Ponce Advance Medical Group is a healthcare organization based in Ponce, PR. Ponce Advance Medical Group practices in Ponce, PR. The NPI Number for Ponce Advance Medical Group is 1104049121 and holds a License No. 07-B-2318 (PR). The current practice location address for Ponce Advance Medical Group is Calle Ferrocarril Int Ave Munoz Rivera, Centro Comercial Santa Maria Local 4, Ponce, PR 00717-4105 and can be reached out via phone at 787-651-4544.
Provider Profile Details
- NPI Number
- 1104049121
- Provider Name
- Ponce Advance Medical Group
- Provider Entity Type
- Organization
- Address
- Calle Ferrocarril Int Ave Munoz Rivera, Centro Comercial Santa Maria Local 4, Ponce, PR 00717-4105
- Phone Number
- 787-651-4544
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Ricardo E Jimenez Rivera · Director Ejecutivo · 787-651-4544
- Provider Enumeration Date
- April 10, 2007
- Last Update Date
- August 29, 2025
- Certification Date
- August 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Calle Ferrocarril Int Ave Munoz Rivera
Centro Comercial Santa Maria Local 4
Ponce, PR 00717-4105 - City
- Ponce
- State
- Puerto Rico
- Zip
- 00717-4105
- Phone Number
- 787-651-4544
Provider Business Mailing Address Details
- Address
- 1575 Ave Munoz Rivera
Pmb 282,
Ponce, PR 00717-0211 - City
- Ponce
- State
- PR
- Zip
- 00717-0211
- Phone Number
- 787-813-2324
- Fax Number
- 787-841-3908
License Information
- Taxonomy (1)
- Family Medicine · 207Q00000X
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Pediatrics · 208000000X
- Taxonomy (4)
- General Practice · 208D00000X
- License Number (5)
- 07-B-2318
- License State (5)
- PR
- Taxonomy (5)
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Primary Care providers near Ponce, PR
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Frequently Asked Questions
What is the NPI number of Ponce Advance Medical Group?
The NPI number of Ponce Advance Medical Group is 1104049121. It was assigned on April 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Ponce Advance Medical Group?
Ponce Advance Medical Group is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in PR under license number 07-B-2318.
Where does Ponce Advance Medical Group practice?
The practice location is Calle Ferrocarril Int Ave Munoz Rivera, Centro Comercial Santa Maria Local 4, Ponce, PR 00717-4105. The office can be reached at 787-651-4544 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104049121 directly on the NPPES registry website.