PONCE ADVANCE MEDICAL GROUP NETWORK, CORP. (NPI# 1023396231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023396231 |
| Entity Type | Organization |
| Organization Name | PONCE ADVANCE MEDICAL GROUP NETWORK, CORP. |
| Practice Address |
Pmb 282 1575 Munoz Rivera Ave. Ponce PR 00717 |
| Mailing Address |
1266 Ave Hostos Esquina Power Ponce PR 00717-0947 |
| Practice Telephone | 7878132325 |
| Practice Fax Number | 7878413908 |
| Mailing Telephone | 7878132325 |
| Mailing Fax Number | 7878413908 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |
| Authorized Official Name | DR. LUIS M IRIZARRY PABON (PRESIDENT) |
| Authorized Official Telephone | 7878132325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
PMB 282 1575 MUNOZ RIVERA AVE. |
| City | PONCE |
| State | PR |
| Zip Code | 00717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202513 | Anthony Ramirez Sanchez | Counselor | Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 | 2020-07-20 |
| 1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
| 1598399446 | Zadia Y Rodriguez | Dietitian, Registered | Urb. Constancia 2706, Ave. Las Americas, Ponce, PR 00717 | 2020-03-01 |
| 1154953412 | Centro Creando Camino De Vida LLC. | Occupational Therapy Assistant | Edificio Ponciana 9140 Calle Marina Oficina 507, Ponce, PR 00717 | 2020-02-05 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1316582216 | Krystina D Garay | Case Management | 8169 Cond San Vicente Calle Concordia, Suite 412, Ponce, PR 00717 | 2019-11-14 |
| 1982255097 | Javier Alejandro Carmona-morales | Pharmacist | Carr. #2 Ponce By Pass, San Jorge Mall, Ponce, PR 00717 | 2019-09-20 |
| 1043867492 | Hope Center LLC | Clinic/Center | Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 | 2019-08-21 |
| 1174185201 | Suhail Milagros Padilla | Physician Assistant | 7451 Calle Perpetuo Socorro, Urb Santa Maria, Ponce, PR 00717 | 2019-06-28 |
| 1255991493 | Jorge E Sanchez Rivera | Social Worker | 2680 Calle Las Carrozas, Urb Perla Del Sur, Ponce, PR 00717 | 2019-06-19 |
| Find all providers in zip 00717 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114341864 | Hp Medical Services P.s.c | Clinic/Center | K-cq St. Suite 104, Poce Cash & Carry Urb. Sta. Teresita, Ponce, PR 00730 | 2014-02-14 |
| 1346534930 | Hp Medical Services Corp | Clinic/Center | Sec Bucana Carr 1, Kiosko 3, Ponce, PR 00716 | 2011-06-01 |
| 1164743639 | Am Delanoy Medical Services, Inc. | Clinic/Center | Marquesa Street 1682, Valle Real, Ponce, PR 00716-0504 | 2010-06-18 |
| 1104049121 | Ponce Advance Medical Group | Clinic/Center | # 1266 Avenida Hostos, Esquina Power, Ponce, PR 00730 | 2007-04-10 |
| 1215053996 | Instituto De Medicina Primaria Y Urgencias Del Sur Csp | Clinic/Center | Calle Marina 9105 Esq Ferrocarril, Ponce, PR 00731 | 2007-03-22 |
| 1063519122 | Ponce Advance Medical Group | Clinic/Center | Avenida Hostos, Esquina Power # 1266, Ponce, PUERTO RICO 00730 | 2006-09-20 |
| 1609314871 | Optometry World Ponce | Clinic/Center | 2053 Ponce By Pass, Ste 104, Ponce, PR 00717-1307 | 2017-02-07 |
| 1538518261 | Preventive Care Services By Apex | Clinic/Center | 909 Ave Tito Castro, Torre Medica Hospital San Lucas Suite 105, Ponce, PR 00716-0105 | 2016-06-03 |
| 1114345469 | Clinica Familiar Coto Laurel Inc | Clinic/Center | 1 Calle Del Parque, Suite 1 Coto Laurel, Ponce, PR 00780-2151 | 2014-04-03 |
| 1003110107 | Pamg Selecto, Inc | Clinic/Center | 1266 Ave Hostos, Esq. Power, Ponce, PR 00717-0947 | 2011-01-04 |
| Find all providers in PONCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.