Individual provider Active NPI

Alvaro Reymunde Posso, MD,FACP,FACG,AGAF

  • Specialist
  • Ponce, PR
National Provider Identifier
1083610828
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207RG0100X Issued in PR
Practice address
Edif Parra Ste 806
2225 Ponce by Pass
Ponce, PR 00717-1321
Phone
(787) 259-8212
Fax
(787) 848-7979
NPI assigned
Jun 27, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 207RG0100X PR Primary

Addresses

Primary practice location

Edif Parra Ste 806
2225 Ponce by Pass
Ponce, PR 00717-1321

Mailing address

PO Box 334069
Ponce, PR 00733-4069
Phone (787) 259-8212

Other identifiers 2

IdentifierTypeStateIssuer
7737OtherPRLICENCE MEDICAL
207RG0100XOtherPRINTERNAL MEDICINE:GASTROE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100129000438 PR Practitioner - Internal MedicinePractitioner - Gastroenterology 6608919618 Reassigns benefits to 1 organization
Practice locations: Ponce, PR; Yauco, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

471 Ave Ferrocarril
Suite 135
Ponce, PR 00717
Phone (787) 259-8212

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy198
Upper gastrointestinal (GI) endoscopy for acid reflux187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207RG0100XPRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ar Institute of Gastroenterology P S C Specialist CurrentSince Aug 6, 2009 Accepting new patients
Advanced Endoscopy Center PSC Past Accepting new patients

Locations

2225 Ponce Byp
Ste 806
Ponce, PR 00717
Phone (787) 259-8212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1083610828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334069",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007334069",
            "telephone_number": "787-259-8212",
            "fax_number": "787-848-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF PARRA STE 806",
            "address_2": "2225 PONCE BY PASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-259-8212",
            "fax_number": "787-848-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYMUNDE POSSO",
        "first_name": "ALVARO",
        "name_prefix": "Dr.",
        "credential": "MD,FACP,FACG,AGAF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-01-21",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "207RG0100X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE MEDICAL",
            "identifier": "7737",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE:GASTROE",
            "identifier": "207RG0100X",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.