Ponce Advance Medical Group

LBN: Ponce Advance Medical Group
Ponce Advance Medical Group is an health care organization with primary practice located at Avenida Hostos Esquina Power # 1266, Ponce PUERTO RICO 00730. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ponce Advance Medical Group can be contacted via phone (787) 813-2324, or through Gonzalez Ruiz, Damarys via phone (787) 813-2324.

Contact Information

Primary practice address
Avenida Hostos Esquina Power # 1266 Ponce PUERTO RICO 00730
Phone: (787) 813-2324
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez Ruiz, Damarys
Phone: (787) 813-2324

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 07-B-2318 Puerto Rico

Profile Details

NPI number 1063519122
LBN Legal business name Ponce Advance Medical Group
DBA Doing business as
Authorized official Gonzalez Ruiz, Damarys
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063519122 NPPES
Puerto Rico MEDICAID 10517

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