NPI 1023396231

Ponce Advance Medical Group Network, Corp.

Organisation Primary Care Clinic/Center Ponce, PR

Practice location

Address: Pmb 282 1575 Munoz Rivera Ave., Ponce, PR 00717
Phone: (787) 813-2325
Fax: (787) 841-3908
Mailing address: 1266 Ave Hostos Esquina Power, Ponce, PR 00717-0947

Authorised official

Name: Luis M Irizarry Pabon
Title: President
Phone: (787) 813-2325

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Puerto Rico →

Registry record

NPI: 1023396231
Entity type: Organization
NPI issued: 22 Jul 2011
Record last updated: 22 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.