Ponce Advance Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

07-B-2318 Issued in PR

Legal business name

PONCE ADVANCE MEDICAL GROUP

Practice address

Calle Ferrocarril Int Ave Munoz Rivera
Centro Comercial Santa Maria Local 4
Ponce, PR 00717-4105

Phone

(787) 651-4544

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Ricardo E Jimenez Rivera

Title

Director Ejecutivo

Phone

(787) 651-4544

Specialties & licenses 5

Addresses

Tax ID family

Ponce Advance Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ponce Advance Medical Group, LLC

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1346950672
  NPD tax ID

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1104049121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 AVE MUNOZ RIVERA",
            "address_2": "PMB 282,",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-813-2324",
            "fax_number": "787-841-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FERROCARRIL INT AVE MUNOZ RIVERA",
            "address_2": "CENTRO COMERCIAL SANTA MARIA LOCAL 4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007174105",
            "telephone_number": "787-651-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE ADVANCE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ RIVERA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR EJECUTIVO",
        "authorized_official_telephone_number": "787-651-4544"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "07-B-2318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Policlinicas de Ponce
• Policlinicas Medicas Asociadas, Inc.
• Daniela Polonio-Mejia
• Ronald Fernando Pomacondor
• Jonathan Pomales Diaz, D.C.
• Ponce Advance Medical Group Network, Corp.
• Ponce Advance Medical Group, LLC
• Ponce Area Medical Equipment and Supply Corp
• Ponce Cardiology Group, P. S. C.
• Ponce Cardiovascular Services, PSC

• Primary Care Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.